Individual provider Active NPI

Zita Acuna Andreski, APRN FNP-C

  • Family Nurse Practitioner
  • Hartsville, SC
National Provider Identifier
1003543539
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26326 Issued in SC
Practice address
1268 S 4TH St
Hartsville, SC 29550-0703
Phone
(843) 332-3422
Fax
(843) 332-3985
NPI assigned
Aug 4, 2022
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26326 SC Primary

Addresses

Primary practice location

1268 S 4TH St
Hartsville, SC 29550-0703

Mailing address

PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111

Other identifiers 2

IdentifierTypeStateIssuer
NP9055MedicaidSC
SCP096OtherSCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230220002132 SC Practitioner - Nurse Practitioner 3375915382 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26326SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caresouth Carolina, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Caresouth Carolina, Inc Past Accepting new patients
Caresouth Carolina Inc Past Accepting new patients

Locations

1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422

1268 S 4th St
Ste A
Hartsville, SC 29550
Phone (843) 332-3422

1268 S 4th St
Ste B
Hartsville, SC 29550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BACCCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BACCCD/Endpoint/BACCCD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1003543539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511090",
            "telephone_number": "843-857-0111",
            "fax_number": "843-857-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295500703",
            "telephone_number": "843-332-3422",
            "fax_number": "843-332-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUNA ANDRESKI",
        "first_name": "ZITA",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP9055",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCP096",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

Verify at the official NPI Registry.