Active NPI
Andra Pasca Collins, AGACNP-BC
- Acute Care Nurse Practitioner
- Conway, SC
National Provider Identifier
1154063600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 25722
- Practice address
- 834 Farrar Dr
Conway, SC 29526-8747 - Phone
- (843) 347-9487
- Fax
- (843) 347-9574
- NPI assigned
- Apr 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 25722 | SC | Primary |
Addresses
Primary practice location
834 Farrar Dr
Conway, SC 29526-8747
Mailing address
677 Rambler CT
Myrtle Beach, SC 29588-4639
Phone (843) 222-8365
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1151 44TH N Ave
Mytle Beach, SC 29577-5756
Phone (843) 497-7275
Hospital & facility affiliations
- Conway Medical Center
- Grand Strand Regional Medical Center
- McLeod Loris Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.89 of 100
- Quality
- 81.02
- Improvement activities
- 40
- Cost
- 78.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25722 | SC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Kidney Center PA | Current | Accepting new patients | |
| Waccamaw Dermatology, LLC | Current | Accepting new patients |
Locations
847 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487
834 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487
1151 44th Ave N
Myrtle Beach, SC 29577
Phone (843) 497-7275
Interoperability endpoints
- acollins38793@direct.acumenmd.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Conway, SC
- NPI 1801961537
-
- Dermatology Physician
- Myrtle Beach, SC
- NPI 1962449181
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1154063600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 RAMBLER CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295884639",
"telephone_number": "843-222-8365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 FARRAR DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268747",
"telephone_number": "843-347-9487",
"fax_number": "843-347-9574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ANDRA",
"middle_name": "PASCA",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "25722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.