Individual provider Active NPI

Stephanie Lane Purser, FNP-C

  • Nurse Practitioner
  • Lancaster, SC
National Provider Identifier
1518749688
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
23679 Issued in SC
Practice address
1025 W Meeting St Ste 200
Lancaster, SC 29720-2246
Phone
(803) 285-1082
Fax
(803) 283-4329
NPI assigned
Oct 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 23679 SC Primary

Addresses

Primary practice location

1025 W Meeting St Ste 200
Lancaster, SC 29720-2246

Mailing address

1025 W Meeting St Ste 200
Lancaster, SC 29720-2246
Phone (803) 285-1082

Other practice location 1

8351 Charlotte Hwy Ste 200
Indian Land, SC 29707-6553
Phone (803) 285-1082

Other names 1

  • Stephanie Purser Henderson Former name

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
I20250204000418 SC Practitioner - Nurse Practitioner 1052841285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

136 Stonemark LN
Suite 100C
Columbia, SC 29210-3881
Phone (800) 932-2738

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23679SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mackey Family Practice, PA Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients

Locations

8351 Charlotte Hwy
Indian Land, SC 29707
Phone (803) 386-5308

8351 Charlotte Hwy
Ste 200
Indian Land, SC 29707
Phone (803) 285-1082

1025 W Meeting St
Lancaster, SC 29720
Phone (803) 286-5223

1025 W Meeting St
Ste 200
Lancaster, SC 29720
Phone (803) 285-1082

Interoperability endpoints

  • Direct secure messaging: stephaniehenderson@macfamprac.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1518749688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST STE 200",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202246",
            "telephone_number": "803-285-1082",
            "fax_number": "803-283-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST STE 200",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202246",
            "telephone_number": "803-285-1082",
            "fax_number": "803-283-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8351 Charlotte Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297076553",
            "country_code": "US",
            "telephone_number": "803-285-1082",
            "fax_number": "803-283-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURSER",
        "first_name": "STEPHANIE",
        "middle_name": "LANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "23679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HENDERSON",
            "middle_name": "PURSER",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.