Active NPI
Linda Wilds, FNP
- Family Nurse Practitioner
- Marion, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20050
- Practice address
- 145 Palmetto Pointe Rd
Marion, SC 29571-6721 - Phone
- (843) 423-2400
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Conway, SC
- NPI 1043395346
SC
-
- Federally Qualified Health Center (FQHC)
- Johnsonville, SC
- NPI 1639255631
-
- Federally Qualified Health Center (FQHC)
- Marion, SC
- NPI 1770668824
-
- Federally Qualified Health Center (FQHC)
- Conway, SC
- NPI 1063079549
-
- Federally Qualified Health Center (FQHC)
- Gresham, SC
- NPI 1184338592
-
- Federally Qualified Health Center (FQHC)
- Conway, SC
- NPI 1528771086
-
- Federally Qualified Health Center (FQHC)
- Conway, SC
- NPI 1699118612
-
- Federally Qualified Health Center (FQHC)
- Marion, SC
- NPI 1861874430
-
- Clinical Medical Laboratory
- Conway, SC
- NPI 1336423193
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mullins, SC
- NPI 1447723945
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Care Partners of South Carolina, Inc.
Practice addresses (Care Compare)
145 Palmetto Pointe Rd
Marion, SC 29571-6721
Phone (843) 423-2400
Hospital & facility affiliations
- Musc Health Marion Medical Center
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170208000831 | SC | Practitioner - Nurse Practitioner | 5890078323 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Partners of South Carolina, Inc. | Current | Accepting new patients | |
| Health Care Partners of South Carolina, Inc. | Current | Accepting new patients | |
| Health Care Partners of South Carolina, Inc. | Past | Accepting new patients | |
| Health Care Partners of South Carolina, Inc. | Past | Accepting new patients | |
| Health Care Partners of South Carolina, Inc. | Past | Accepting new patients |
Locations
1608 Main St
Conway, SC 29526
Phone (843) 488-6032
1708 Oak St
Conway, SC 29526
Phone (843) 488-6363
145 Palmetto Pointe Rd
Marion, SC 29571
Phone (843) 423-2400
Interoperability endpoints
- linda.wilds@hcposc.eclinicaldirectplus.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20050 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
145 Palmetto Pointe Rd
Marion, SC 29571-6721
Mailing address
145 Palmetto Pointe Rd
Marion, SC 29571-6721
Phone (843) 423-2400
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4125 | Medicaid | SC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2016.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1154776722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 PALMETTO POINTE RD",
"city": "MARION",
"state": "SC",
"postal_code": "295716721",
"telephone_number": "843-423-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 PALMETTO POINTE RD",
"city": "MARION",
"state": "SC",
"postal_code": "295716721",
"telephone_number": "843-423-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDS",
"first_name": "LINDA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP4125",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.