Amanda Beck Bucao

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

22870 Issued in SC

Practice address

1644 Jackson St
Barnwell, SC 29812-2156

Phone

(888) 221-1826

NPI assigned

May 20, 2019

Last updated

May 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, GA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Physician Services - Southeast Professional CorporationGroup PAC ID 5597774554, 825 clinicians

Hilton Head Regional Physician Group LLCGroup PAC ID 9234573676, 114 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
• Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
• Doctors Hospital Hospital, Augusta, GA, CCN 110177

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Hilton Head Regional Physician Group LLC

  • Internal Medicine Physician
  • Bluffton, SC
  • NPI 1548021694
  Medicare reassignment Care Compare group NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Southeastern Hospitalist Services PC

  • Hospitalist Physician
  • Myrtle Beach, SC
  • NPI 1003280108

  Nurse Practitioner

  Medicare reassignment NPD
• Hilton Head Regional Physician Group LLC

  dba Wound Healing Center

  • Surgery Physician
  • Bluffton, SC
  • NPI 1295596708
  NPD
• Hilton Head Regional Physician Group LLC

  • Podiatrist
  • Beaufort, SC
  • NPI 1811768583
  NPD
• Hilton Head Regional Physician Group LLC

  • Surgery Physician
  • Bluffton, SC
  • NPI 1124889639
  NPD (past)

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

• Hilton Head Medical Center LLC

  dba Novant Health Hilton Head Medical Center

  • General Acute Care Hospital
  • Hilton Head Island, SC
  • NPI 1902675101
  Care Compare affiliation
• South Carolina Coastal Medical Center LLC

  dba Novant Health Coastal Carolina Hospital

  • General Acute Care Hospital
  • Hardeeville, SC
  • NPI 1205605409
  Care Compare affiliation
• Doctors Hospital of Augusta LLC

  dba Doctors Hospital (Augusta)

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963
  Care Compare affiliation

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1235796871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080390",
            "telephone_number": "888-221-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 JACKSON ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298122156",
            "telephone_number": "888-221-1826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Ginn Altman Ave",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "SC",
            "postal_code": "299243962",
            "country_code": "US",
            "telephone_number": "888-221-1826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "571 Memorial Ave N",
            "address_purpose": "LOCATION",
            "city": "Allendale",
            "state": "SC",
            "postal_code": "298102713",
            "country_code": "US",
            "telephone_number": "888-221-1826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCAO",
        "first_name": "AMANDA",
        "middle_name": "BECK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Brooks
• Bailey Scott Brown
• Mary Louise Brown
• Steven Micheal Brown Jr.
• Bryan and Sang Medical Associates, Inc (Gasnel E. Bryan, MD)
• Lenora Buckmon
• Burke Hospital Company (Southeastern Spine and Pain)
• Bryan A. Burnett, M.D.
• Kristin Campbell
• Lee Carpenter

• Nurse Practitioner in Barnwell, SC
• Providers in Barnwell, 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 May 20, 2019; 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.