Individual provider Active NPI

Michelle B Surrett, FNP-BC

  • Occupational Health Nurse Practitioner
  • Cayce, SC
National Provider Identifier
1114110665
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
1009 Issued in SC
Practice address
3799 12TH Street Ext Ste 110
Cayce, SC 29033-3750
Phone
(803) 755-3337
Fax
(803) 955-2225
NPI assigned
Aug 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 1009 SC Primary

Addresses

Primary practice location

3799 12TH Street Ext Ste 110
Cayce, SC 29033-3750

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 935-8292

Other practice location 1

105 Brevard Pkwy
Lexington, SC 29073-7265
Phone (803) 951-1880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msurrett94916@direct.lexmed.com

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
I20050809000280 SC Practitioner - Nurse Practitioner 5597794636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

338 E Columbia Ave
Leesville, SC 29070-9285
Phone (803) 332-4300

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1009SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
App of South Carolina Ed PLLC CurrentSince Dec 17, 2017 Accepting new patients
Lexington Health Inc CurrentSince Feb 6, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 6, 2021 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300

105 Brevard Pkwy
Lexington, SC 29073
Phone (803) 951-1880

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

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

3799 12th Street Ext
Ste 110
West Columbia, SC 29033
Phone (803) 755-3337

Interoperability endpoints

  • Direct secure messaging: msurrett94916@direct.lexmed.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1114110665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-935-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 12TH STREET EXT STE 110",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333750",
            "telephone_number": "803-755-3337",
            "fax_number": "803-955-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Brevard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290737265",
            "country_code": "US",
            "telephone_number": "803-951-1880",
            "fax_number": "803-951-0384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURRETT",
        "first_name": "MICHELLE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-18",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "SC",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msurrett94916@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3799 12th Street Ext Ste 110",
            "city": "Cayce",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290333750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cayce, SC

Sources for this page

Verify at the official NPI Registry.