Individual provider Active NPI

Paige Amsler Sprietsma, ANP

  • Adult Health Nurse Practitioner
  • Beaufort, SC
National Provider Identifier
1437786639
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.23698 Issued in SC
Practice address
1094 Ribaut Rd
Beaufort, SC 29902-5437
Phone
(843) 524-2001
NPI assigned
Mar 26, 2020
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.23698 SC Primary

Addresses

Primary practice location

1094 Ribaut Rd
Beaufort, SC 29902-5437

Mailing address

1094 Ribaut Rd
Beaufort, SC 29902-5437
Phone (843) 524-2001

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
I20200428000076 SC Practitioner - Nurse Practitioner 7012347420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

18 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 986-9670

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.23698SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ribaut Medical Partners, LLC CurrentSince Apr 25, 2022 Accepting new patients

Locations

1094 Ribaut Rd
Beaufort, SC 29902
Phone (843) 524-2001

Interoperability endpoints

  • Direct secure messaging: paige.sprietsma.1@16330.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1437786639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025437",
            "telephone_number": "843-524-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025437",
            "telephone_number": "843-524-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRIETSMA",
        "first_name": "PAIGE",
        "middle_name": "AMSLER",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "APN.23698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.