Individual provider Active NPI

Krista Marlee Rudd, NP

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1487497582
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28894 Issued in SC
Practice address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 692-1000
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 28894 SC Primary

Addresses

Primary practice location

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

7035 Skiff LN Unit 302
Myrtle Beach, SC 29572-4536
Phone (843) 712-6273

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
I20250113003810 SC Practitioner - Nurse Practitioner 1456889856 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

115 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 648-8430

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince May 8, 2025 Accepting new patients
Southeastern Hospitalist Services PC CurrentSince Jan 1, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Apr 14, 2025 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Apr 14, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 17, 2026 Accepting new patients
McLeod Physician Associates II CurrentSince May 8, 2025 Accepting new patients

Locations

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

3980 Highway 9 E
Ste 300
Little River, SC 29566
Phone (843) 366-3891

5050 Highway 17 Byp S
Myrtle Beach, SC 29588
Phone (843) 449-6521

115 McLeod Health Blvd
Ste 201
Myrtle Beach, SC 29579
Phone (843) 646-8430

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1487497582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 SKIFF LN UNIT 302",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724536",
            "telephone_number": "843-712-6273"
        },
        {
            "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": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "KRISTA",
        "middle_name": "MARLEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.