Christa Campbell Boss, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F4093 Issued in SC

Practice address

1119 Pepper Ridge Dr
Lugoff, SC 29078-9655

Phone

(803) 669-5616

NPI assigned

Jan 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Camden Home health agency, Camden, SC, CCN 427036
• Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010
• Kershawhealth Hospital, Camden, SC, CCN 420048
• Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GABFDD/Endpoint/GABFDD

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.

• Full Circle Health LLC

  • Family Nurse Practitioner
  • Lugoff, SC
  • NPI 1649029067
  Medicare reassignment NPD Authorized official
• Providence Orthopaedic Group LLC

  • Orthopaedic Surgery Physician
  • Columbia, SC
  • NPI 1255308342
  NPD (past)

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

• Amedisys SC, LLC

  • Home Health Agency
  • Camden, SC
  • NPI 1699733246
  Care Compare affiliation
• Hartsville, LLC

  • General Acute Care Hospital
  • Hartsville, SC
  • NPI 1174500458
  Care Compare affiliation
• Medical University Hospital Authority

  • Psychiatric Hospital
  • Camden, SC
  • NPI 1306416680
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Camden, SC
  • NPI 1487220307
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Sumter, SC
  • NPI 1326043548
  Care Compare affiliation

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1174854889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 PEPPER RIDGE DR",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789655",
            "telephone_number": "803-669-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 PEPPER RIDGE DR",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789655",
            "telephone_number": "803-669-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1017 Fair St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290204408",
            "country_code": "US",
            "telephone_number": "803-424-1260",
            "fax_number": "803-424-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSS",
        "first_name": "CHRISTA",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F4093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of South Carolina, Inc.
• Anne B Blake, NP
• Dina Maples Blankenship, D.C.
• Blue Rock Therapy, LLC
• Brian Boone, M.D.
• Briana Boyd, FNP
• Joy Brazell
• Brenda Kay Home Health
• Christopher Lee Brisbon, PTA
• Patricia Davis Burton, FNP

• Family Nurse Practitioner in Lugoff, SC
• Providers in Lugoff, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.