Individual provider Active NPI

Ying Qu

  • Family Nurse Practitioner
  • Fort Mill, SC
National Provider Identifier
1194198234
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26363 Issued in SC
Practice address
1061 Red Ventures Dr Ste 130
Fort Mill, SC 29707-2516
Phone
(704) 375-0100
NPI assigned
Nov 11, 2015
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000020435 TN
Family Nurse Practitioner 363LF0000X 5014538 NC
Family Nurse Practitioner 363LF0000X NP95003632 CA
Family Nurse Practitioner 363LF0000X 26363 SC Primary

Addresses

Primary practice location

1061 Red Ventures Dr Ste 130
Fort Mill, SC 29707-2516

Mailing address

PO Box 470408
Charlotte, NC 28247-0408
Phone (704) 375-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170419002676 CA Practitioner - Nurse Practitioner 0840594867 Reassigns benefits to 1 organization
I20210826001258 NC Practitioner - Nurse Practitioner 0840594867 Reassigns benefits to 3 organizations
I20221031000183 SC Practitioner - Nurse Practitioner 0840594867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95003632CAMDFamily Nurse Practitioner
APN0000020435TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jul 10, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 7, 2024 Accepting new patients
St. Johns Community Health CurrentSince Mar 15, 2017 Accepting new patients
St. Johns Community Health Current Accepting new patients
Hospice Care of South Carolina, LLC CurrentSince Oct 1, 2022 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center CurrentSince Sep 11, 2023 Accepting new patients
Hospice & Palliative Care Charlotte Region CurrentSince Sep 22, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 10, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Hospice & Palliative Care Charlotte Region CurrentSince Sep 22, 2025 Accepting new patients
St. Johns Community Health CurrentSince Mar 15, 2017 Accepting new patients
Carolinas Medical Center CurrentSince Sep 11, 2023 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

15715 S Atlantic Ave
Fl 2
East Rancho Dominguez, CA 90221
Phone (310) 604-5000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

400 E Morehead St
#202
Charlotte, NC 28202
Phone (704) 355-0607

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661

1061 Red Ventures Dr
Ste 130
Fort Mill, SC 29707
Phone (803) 548-3708

187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (800) 932-2378

Interoperability endpoints

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

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1194198234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408",
            "telephone_number": "704-375-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 RED VENTURES DR STE 130",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297072516",
            "telephone_number": "704-375-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QU",
        "first_name": "YING",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020435",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95003632",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.