Individual provider Active NPI

Bettie S Stem, FNP

  • Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1033670542
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22447 Issued in SC
Practice address
222 E Medical LN Ste 101
West Columbia, SC 29169-4850
Phone
(803) 739-3660
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22447 SC
Nurse Practitioner 363L00000X 22447 SC Primary

Addresses

Primary practice location

222 E Medical LN Ste 101
West Columbia, SC 29169-4850

Mailing address

1014 Saint Andrews Blvd
Charleston, SC 29407-7177
Phone (843) 818-8694

Other practice location 1

1014 Saint Andrews Blvd
Charleston, SC 29407-7177
Phone (843) 818-8694

Other identifiers 1

IdentifierTypeStateIssuer
NP5946MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Bettie.Stem@rsfpp.eclinicaldirectplus.com Direct

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
I20190524001380 SC Practitioner - Nurse Practitioner 5092058578 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
22447SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Nov 14, 2022 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Lexington Health Inc Current Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Oct 1, 2019 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 17, 2020 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 17, 2020 Accepting new patients
Lexington Health Inc CurrentSince Nov 14, 2022 Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Jul 1, 2019 Accepting new patients

Locations

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

2270 Ashley Crossing Dr
Ste 170
Charleston, SC 29414
Phone (843) 763-3700

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

180 Wingo Way
Ste 110
Mt Pleasant, SC 29464
Phone (843) 402-5283

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

222 E Medical Ln
Ste 101
West Columbia, SC 29169
Phone (803) 739-3660

Interoperability endpoints

  • Direct secure messaging: bettie.stem@rsfpp.eclinicaldirectplus.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1033670542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 SAINT ANDREWS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077177",
            "telephone_number": "843-818-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MEDICAL LN STE 101",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694850",
            "telephone_number": "803-739-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 Saint Andrews Blvd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294077177",
            "country_code": "US",
            "telephone_number": "843-818-8694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEM",
        "first_name": "BETTIE",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22447",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5946",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bettie.Stem@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "2270 Ashley Crossing Dr Ste 170",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.