Active NPI
Renee Ellen Walter, APN
- Psychiatric/Mental Health Nurse Practitioner
- Myrtle Beach, SC
National Provider Identifier
1245948041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 27384
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP9477 | Medicaid | SC |
Other names 1
- Renee Ellen Quigley
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230713001471 | SC | Practitioner - Nurse Practitioner | 6103297049 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorpoint Psychiatry & Wellness | Psychiatric/Mental Health | Past | Accepting new patients |
| Primary Care Partners, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Myrtle Beach, SC
- NPI 1265355390
-
dba Jeffrey Merkle, MD- Primary Care Partners Affiliate
- Internal Medicine Physician
- Hackettstown, NJ
- NPI 1548545163
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.