Monica Del Socorro Fajardo-Incer

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26725 Issued in SC

Practice address

48 Centennial Way
Greenville, SC 29605-4662

Phone

(864) 522-8000

Fax

(864) 522-8005

NPI assigned

May 15, 2024

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
• Prisma Health Baptist Easley Hospital Hospital, Easley, SC, CCN 420015
• Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment Care Compare group NPD
• Prisma Health University Medical Group

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD

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

• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1033664909
  Care Compare affiliation
• Prisma Health-Upstate

  • Medically Fragile Infants and Children Day Care
  • Greenville, SC
  • NPI 1093168064

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1114473212
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1124574223
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1144775032
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1144914607
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1174079271
  Care Compare affiliation
• Prisma Health-Upstate

  • Radiology Clinic/Center
  • Greenville, SC
  • NPI 1235685330

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • Sleep Disorder Diagnostic Clinic/Center
  • Greenville, SC
  • NPI 1275086431

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1285180307

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • Clinic/Center
  • Greenville, SC
  • NPI 1316492218

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1326884982
  Care Compare affiliation

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1447009121",
    "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": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CENTENNIAL WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054662",
            "telephone_number": "864-522-8000",
            "fax_number": "864-522-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO-INCER",
        "first_name": "MONICA",
        "middle_name": "DEL SOCORRO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick C. Fahey III, PMHNP-BC
• Katelyn Fahy
• Eric James Faile IV, M.D.
• Susan Lowery Fair, PT
• Faithful Hearts Homecare,LLC
• Emmanuel Andes Fajardo, MD
• Jori Falcon, DMD
• Lars Osmundson Falk
• Falls Park Dentistry
• Tabitha Livingston Fambrough

• Family Nurse Practitioner in Greenville, SC
• Providers in Greenville, 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 Jul 29, 2024; 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.