Individual provider Active NPI

Misti Lee Borgestad, FNP, CNM

  • Family Nurse Practitioner
  • Johns Island, SC
National Provider Identifier
1215222898
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27660 Issued in SC
Practice address
3423 Maybank Hwy
Johns Island, SC 29455-4821
Phone
(843) 737-5206
Fax
(843) 795-7171
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27660 SC Primary

Addresses

Primary practice location

3423 Maybank Hwy
Johns Island, SC 29455-4821

Mailing address

3423 Maybank Hwy
Johns Island, SC 29455-4821
Phone (843) 737-5206

Other identifiers 1

IdentifierTypeStateIssuer
1215222898MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000002 SC Practitioner - Nurse Practitioner 0547448029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Remedy Internal Medicine and Wellness Center P aGroup PAC ID 1557523917, 3 clinicians

Practice addresses (Care Compare)

109 Wappoo Creek Dr
2A
Charleston, SC 29412-2138
Phone (843) 737-5206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
27660SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Internal Medicine and Wellness Center P a CurrentSince Jun 9, 2025 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

109 Wappoo Creek Dr
Ste 2A
Charleston, SC 29412
Phone (843) 737-5206

3423 Maybank Hwy
Johns Island, SC 29455
Phone (843) 270-3412

Interoperability endpoints

  • Direct secure messaging: misti.borgestad.1@7359.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7359/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1215222898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554821",
            "telephone_number": "843-737-5206",
            "fax_number": "843-795-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554821",
            "telephone_number": "843-737-5206",
            "fax_number": "843-795-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGESTAD",
        "first_name": "MISTI",
        "middle_name": "LEE",
        "credential": "FNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215222898",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

Verify at the official NPI Registry.