Individual provider Active NPI

Amanda Long Robertson, DNP

  • Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1265023964
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG01210008 Issued in SC
Practice address
8220 Nigels Dr
Myrtle Beach, SC 29572-4125
Phone
(843) 692-0968
Fax
(843) 692-2688
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG01210008 SC Primary

Addresses

Primary practice location

8220 Nigels Dr
Myrtle Beach, SC 29572-4125

Mailing address

8220 Nigels Dr
Myrtle Beach, SC 29572-4125
Phone (843) 692-0968

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arobertson@crnamd.com

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
I20210311002325 SC Practitioner - Nurse Practitioner 3577979897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Rheumatology and NeurologyGroup PAC ID 7113821646, 6 clinicians

Practice addresses (Care Compare)

8220 Nigels Dr
Myrtle Beach, SC 29572-4125
Phone (843) 692-0968

Hospital & facility affiliations

  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Merit-based Incentive Payment System (MIPS)

Final score
86.18 of 100Reported as group
Quality
91.3
Improvement activities
40
Cost
65.52

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG01210008SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Rheumatology & Neurology Assoc. CurrentSince May 6, 2024 Accepting new patients

Locations

4835 Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-1021

8220 Nigels Dr
Myrtle Beach, SC 29572
Phone (843) 692-0968

Interoperability endpoints

  • Direct secure messaging: amanda.robertson.p1@direct.carolinarheumneuro.nextgenshare.com
  • Direct secure messaging: amanda.robertson.p1@direct.articularis.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1265023964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 NIGELS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724125",
            "telephone_number": "843-692-0968",
            "fax_number": "843-692-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 NIGELS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724125",
            "telephone_number": "843-692-0968",
            "fax_number": "843-692-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "AMANDA",
        "middle_name": "LONG",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "AG01210008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arobertson@crnamd.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "address_1": "8220 Nigels Dr",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295724125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.