Aquanetta L Nesbitt, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

21051 Issued in SC

Practice address

901 N Matthews Rd
Lake City, SC 29560-7024

Phone

(843) 374-8380

Fax

(843) 374-5247

NPI assigned

Jan 19, 2017

Last updated

Oct 26, 2021By 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 2

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake City Family Medicine LLCGroup PAC ID 0547368441, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CCN 420117 Hospital, CCN 420117
• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Lake City Family Medicine LLC

  • Primary Care Clinic/Center
  • Lake City, SC
  • NPI 1396969002
  Medicare reassignment Care Compare group NPD
• All Quality Diagnostic Testing Services LLC

  • Clinic/Center
  • Lake City, SC
  • NPI 1386376549
  NPD Authorized official
• All Quality Medical Solutions, LLC

  • Urgent Care Clinic/Center
  • Florence, SC
  • NPI 1659041838
  NPD Authorized official
• Lake City Family Medicine, LLC

  dba Family Medicine Associates, LLC

  • Rural Health Clinic/Center
  • Kingstree, SC
  • NPI 1831445998
  NPD
• Lower Florence County Hospital

  dba Lake City Family Medicine

  • Rural Health Clinic/Center
  • Lake City, SC
  • NPI 1902903222
  NPD (past)
• Nesbitt's Medical Solutions, LLC

  • Case Management Agency
  • Lake City, SC
  • NPI 1104462035
  NPD (past)

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

• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Black River Medical Center

  • General Acute Care Hospital
  • Cades, SC
  • NPI 1841914298
  Care Compare affiliation

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1528505286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N MATTHEWS RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607024",
            "telephone_number": "843-374-8380",
            "fax_number": "843-374-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N MATTHEWS RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607024",
            "telephone_number": "843-374-8380",
            "fax_number": "843-374-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "AQUANETTA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21051",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Wren Floyd Moore
• Michelle Moses
• Paula Moses, R.PH.
• Motivations-Unlimited
• MSK Transportation
• Nesbitt's Medical Solutions, LLC
• Nourishing Home Care LLC
• Kira O'Neal, MA, LPC
• Open Healthcare Skill Nursing
• Open Hearts Healthcare Skilled Nursing

• Nurse Practitioner in Lake City, SC
• Providers in Lake City, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.