Elizabeth Mary Hernick, GNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

19157 Issued in SC

Practice address

Corporate Office
3523 Pelham Rd, Suite C
Greenville, SC 29615-4191

Phone

(864) 306-0966

Fax

(864) 306-2544

NPI assigned

May 27, 2009

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elizabeth Mary Smieja Other name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reliant Geriatrics, Inc.Group PAC ID 0941271035, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
• NHC Homecare Laurens Home health agency, Clinton, SC, CCN 427079

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.hernick@centerwell.eclinicaldirectplus.com

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.

• Reliant Geriatrics, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Greenville, SC
  • NPI 1922080787
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care (SC) PC

  dba CenterWell Senior Primary Care-Orchard Park

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790
  Medicare reassignment
• Centerwell Senior Primary Care (SC) PC

  dba CenterWell Senior Primary Care - Powdersville

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1841644580
  NPD

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

• Inspirium Ihc Upstate, LLC

  dba Interim Healthcare of the Upstate

  • Home Health Agency
  • Greenville, SC
  • NPI 1750897609
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Greenville, SC
  • NPI 1326233677
  Care Compare affiliation
• NHC-Op LP

  dba NHC HomeCare-Anderson

  • Home Health Agency
  • Anderson, SC
  • NPI 1821755091
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Clinton, SC
  • NPI 1992735625
  Care Compare affiliation

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1144455601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 14611",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296104611",
            "telephone_number": "864-306-0966",
            "fax_number": "864-306-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORPORATE OFFICE",
            "address_2": "3523 PELHAM RD, SUITE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154191",
            "telephone_number": "864-306-0966",
            "fax_number": "864-306-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNICK",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2024-10-11",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "19157",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MN",
            "license": "R106798-7",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3148",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.hernick@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "805 W Wade Hampton Blvd Ste C",
            "city": "Greer",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296501311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SMIEJA",
            "middle_name": "MARY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ann Hernandez, ATC, LAT
• Cameron Hernandez, LMFT-A
• Donald L Herndon, DMD
• Emily Herndon, FNP
• Wesley Herndon, DMD
• Jasmine Herr, OTA
• Maria Herran Montes
• Erin Heidi Herring, CRNA
• Sheldon Lyle Herring, PHD
• Corey L Hershberger, MPT

• Gerontology Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Gerontology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.