Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nickalaus Phillip Swan, NP

Individual provider Acute Care Nurse Practitioner · NPI 1265962500

Mr. Nickalaus Phillip Swan, NP is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2017, 9 years ago. Practices with Poppy Drive Inpatient Services PLLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1301 Pennsylvania Ave
Fort Worth, TX 76104
Phone: (972) 281-7071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5200 Harry Hines Blvd, Dallas, TX 75235-7709 — (972) 281-7071

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP137514 (TX)

Record details

NPI number1265962500
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESAugust 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Poppy Drive Inpatient Services Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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