Mickayla D Neibert, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

28141 Issued in SC

Practice address

851 Leonard Fulghum Dr Ste 201
Mount Pleasant, SC 29464-3793

Phone

(843) 884-5133

NPI assigned

Jan 13, 2025

Sex

Female

Sole proprietor

No

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

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Cooper Physician Group LLCGroup PAC ID 1254775687, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mickayla.neibert.1@30548.direct.athenahealth.com

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.

• East Cooper Physician Group LLC

  • Internal Medicine Physician
  • Daniel Island, SC
  • NPI 1861253981
  Medicare reassignment Care Compare group NPD
• East Cooper Physician Group LLC

  • Body Imaging Physician
  • Mt Pleasant, SC
  • NPI 1699641571
  NPD
• East Cooper Physician Group LLC

  • Internal Medicine Physician
  • Summerville, SC
  • NPI 1982475604
  NPD (past)

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1255141024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ALWYN BLVD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854064",
            "telephone_number": "540-683-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM DR STE 201",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643793",
            "telephone_number": "843-884-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIBERT",
        "first_name": "MICKAYLA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SC",
            "license": "28141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Vision Inc
• Natural Health Center, Inc
• Isabella Navarro
• Rebecca F Naylor, P.T.
• Kasey Neely, OTR/L
• Catherine Elizabeth Nelson, PA-C
• Sandra Nelson, LPC
• Daniel Stephen Nemeth, MD
• Mark Douglas Netherton, MD
• Neuropathy Treatment Center of Charleston, LLC

• Women's Health Nurse Practitioner in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Women's Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.