Manda Rae Wetzel, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23454 Issued in SC

Practice address

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Phone

(843) 692-1000

NPI assigned

Jan 2, 2020

Last updated

Aug 17, 2026By the provider in NPPES

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

Other names 1

• Manda Rae Beshore Former name

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555
  Medicare reassignment NPD
• SC Wound Solutions LLC

  • Surgery Physician
  • Awendaw, SC
  • NPI 1639033780
  Medicare reassignment NPD
• Woundwise Solutions LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Awendaw, SC
  • NPI 1427815984
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  SC

  Medicare reassignment NPD
• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084

  SC

  Medicare reassignment
• Scmwc Inc

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Myrtle Beach, SC
  • NPI 1356187132
  NPD
• Ncmwc, Inc

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Raleigh, NC
  • NPI 1811756182
  NPD

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1295374692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "704-675-7279",
            "fax_number": "704-675-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hampstead Pl",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296503659",
            "country_code": "US",
            "telephone_number": "704-675-7279",
            "fax_number": "704-675-7279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9600 Two Notch Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292231612",
            "country_code": "US",
            "telephone_number": "205-753-5699",
            "fax_number": "205-753-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "MANDA",
        "middle_name": "RAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDA",
            "last_name": "BESHORE",
            "middle_name": "RAE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Brynn West
• Tori Christine West, CRNA
• Andrew D Westberry, MD
• Forrest Halsey Westley, PHARMD
• Christine Westmoreland
• Phyllis Wharton-James, LPC, NCC
• Wheelchair and Scooters Rentals of Myrtle Beach Inc
• Betty T Wheeler, CCC-SLP
• Melissa Whetzel, NP
• Jenna Whisenant

• Family Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.