Individual provider Active NPI

Renee Ellen Walter, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1245948041
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27384 Issued in SC
Practice address
9151 Fort Hill Way
Myrtle Beach, SC 29579-3743
Phone
(843) 632-8882
Fax
(843) 632-8883
NPI assigned
Nov 10, 2022
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27384 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27384 SC Primary

Addresses

Primary practice location

9151 Fort Hill Way
Myrtle Beach, SC 29579-3743

Mailing address

9151 Fort Hill Way
Myrtle Beach, SC 29579-3743
Phone (843) 234-6946

Other practice location 1

3025 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone (843) 215-2400

Other identifiers 1

IdentifierTypeStateIssuer
NP9477MedicaidSC

Other names 1

  • Renee Ellen Quigley Former name

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
I20230713001471 SC Practitioner - Nurse Practitioner 6103297049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorpoint Psychiatry & Wellness Psychiatric/Mental Health Past Accepting new patients
Primary Care Partners, LLC PastSince Mar 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: renee.walter.1@33134.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1245948041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 FORT HILL WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793743",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 FORT HILL WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793743",
            "telephone_number": "843-632-8882",
            "fax_number": "843-632-8883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Newcastle Loop",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295884502",
            "country_code": "US",
            "telephone_number": "843-215-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "RENEE",
        "middle_name": "ELLEN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27384",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "27384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP9477",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "QUIGLEY",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.