Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1861483372 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Tracy Swanson , MD

Pediatrics • Ames, IA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Swanson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2005
NPI Deactivation Date July 31, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Swanson, MD was a registered Pediatrics practicing in Ames, IA. Throughout an active medical career spanning 20 years, Dr. Swanson provided care at the practice location at 1215 DUFF AVE until profile deactivation on 2025-07-31.

Practice Location & Contact Primary Location

Practice Address

1215 Duff Ave

Ames, IA 500103014

Telephone 5152394404
Fax 5152394721
Associated Practice Facility / Clinic
🏢 Hy-Vee Inc Facility NPI 1902848229

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ames, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
18 Specialists

Practicing in Ames, IA (522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IA 18404

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Donna Deardorff , CNM, ARNP

Advanced Practice Midwife

NPI 1033107768

Certified Nurse Midwife, Advanced Registered Nurse Practitioner

NPI 1063643401

Doctor of Medicine (M.D.)

NPI 1144667171

Doctor of Medicine (M.D.)

NPI 1194706127

Doctor of Medicine (M.D.)

Heidi Mittelstaedt , ARNP

Nurse Practitioner - Pediatrics

NPI 1235410804

Advanced Registered Nurse Practitioner

NPI 1255453767

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated July 31, 2025

Record deactivated on July 31, 2025

NPI Profile Active August 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2012

Registered at 1215 DUFF AVE, AMES, IA 500103014 (Tel: 5152394404)

📍
Updated Business Mailing Address August 17, 2012

Registered at 1215 DUFF AVE, AMES, IA 500103014 (Tel: 5152394404)

👤
Provider Name / Credentials Updated August 17, 2012

Recorded as JACK SWANSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2012

Pediatrics (License #18404 in IA)

🟢
Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jack Swanson. Be the first to share your experience!

Sign in to leave a review for Dr. Jack Swanson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1861483372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2005
Last Update: August 17, 2012
Deactivation Date: July 31, 2025

Mailing Address

1215 Duff Ave

Ames, IA 500103014

Phone: 5152394404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.