NPIMap

Individual provider Active NPI

Nicole Megan Portela, NP

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1255824611
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21951 Issued in SC
Practice address
200 Patewood Dr Ste C300
Greenville, SC 29615-6324
Phone
(864) 454-8272
Fax
(864) 454-2875
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 21951 SC Primary

Addresses

Primary practice location

200 Patewood Dr Ste C300
Greenville, SC 29615-6324

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6294

Other practice location 1

100 Healthy Way Ste 1240
Anderson, SC 29621-7917
Phone (864) 512-2848

Other practice location 2

10 Financial Blvd
Anderson, SC 29621-1770
Phone (864) 437-8930

Other practice location 3

300 Regent Park Ct
Greenville, SC 29607-6547
Phone (864) 437-8930

Other names 1

  • Nicole Megan Ragard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724000075 SC Practitioner - Nurse Practitioner 9638426588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Patewood Dr
Suite C300
Greenville, SC 29615-6324
Phone (864) 454-8272

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Apr 1, 2019 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 15, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 15, 2024 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Apr 1, 2019 Accepting new patients

Locations

100 Healthy Way
Ste 1240
Anderson, SC 29621
Phone (864) 512-2848

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

703 N Fant St
Anderson, SC 29621
Phone (864) 225-5059

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

403 Hillcrest Dr
Ste B
Easley, SC 29640
Phone (864) 850-5580

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

200 Patewood Dr
Ste C300
Greenville, SC 29615
Phone (864) 454-2852

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

Interoperability endpoints

  • Direct secure messaging: nportela744184@direct.ghs.myhfn.org

Organizations & group practices 5

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.

Hospital & facility affiliations 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1255824611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6294",
            "fax_number": "803-434-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATEWOOD DR STE C300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156324",
            "telephone_number": "864-454-8272",
            "fax_number": "864-454-2875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Healthy Way Ste 1240",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296217917",
            "country_code": "US",
            "telephone_number": "864-512-2848",
            "fax_number": "864-512-7221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Financial Blvd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211770",
            "country_code": "US",
            "telephone_number": "864-437-8930",
            "fax_number": "864-309-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Regent Park Ct",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296076547",
            "country_code": "US",
            "telephone_number": "864-437-8930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTELA",
        "first_name": "NICOLE",
        "middle_name": "MEGAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "RAGARD",
            "middle_name": "MEGAN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.