Anna M Moak, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

17764 Issued in SC

Practice address

1920 2ND Loop Rd
Florence, SC 29501-6123

Phone

(843) 678-9777

Fax

(843) 665-2814

NPI assigned

Apr 25, 2012

Last updated

Oct 24, 2013By 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 names 1

• Anna M Craft Former name

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Three Rivers Behavioral Health LLCGroup PAC ID 3072699891, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Three Rivers Behavioral Health LLC

  dba Three Rivers Behavioral Health

  • Psychiatric Hospital
  • West Columbia, SC
  • NPI 1841586187
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1205194594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016123",
            "telephone_number": "843-678-9777",
            "fax_number": "843-665-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016123",
            "telephone_number": "843-678-9777",
            "fax_number": "843-665-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAK",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "17764",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "SC",
            "license": "17764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "CRAFT",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Mae Mitchell, CRNA
• Ryan L Mitchell, DC
• Sharon Szukala Mitchell, MD
• Stephanie Mitchell, NP
• Kelly Mixon, RN
• Nikunjkumar Trambaklal Modi, MD
• Douglas M Moeckel, M.D.
• Gazelle Moharari, MD
• Richard E. Mohr III, MD
• Nithasha Moideen, M.D.

• Nurse Practitioner in Florence, SC
• Providers in Florence, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.