NPIMap

Individual provider Active NPI

Brenda Anne Hewitt, FNP-C, MSN

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1548593122
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23069 Issued in SC
Practice address
4022 Postal Way
Myrtle Beach, SC 29579-3537
Phone
(843) 236-0000
Fax
(843) 236-6191
NPI assigned
Sep 14, 2009
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F339792-1 NY
Family Nurse Practitioner 363LF0000X 23069 SC Primary
Community Health Registered Nurse 163WC1500X 465647-1 NY

Addresses

Primary practice location

4022 Postal Way
Myrtle Beach, SC 29579-3537

Mailing address

300 Singleton Ridge Rd
Attention Patient Accounting
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

6010 Highway 707, Ste 100
Myrtle Beach, SC 29588-7321
Phone (843) 239-1005

Other names 1

  • Miss Brenda Anne Patterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150925000515 NY Practitioner - Nurse Practitioner 0446568422 Reassigns benefits to 1 organization
I20200720000100 SC Practitioner - Nurse Practitioner 0446568422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

6010 Hwy 707
Suite 100
Myrtle Beach, SC 29588-7321
Phone (843) 293-1005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
465647-1NYMDCommunity Health Registered Nurse
339792NYMDLicensed Practical Nurse
23069SCMDInfectious Disease Physician
F339792-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Hospital, Inc. CurrentSince Jan 7, 2016 Accepting new patients
Conway Hospital, Inc. Current Accepting new patients
Conway Hospital, Inc. CurrentSince Jul 20, 2020 Accepting new patients
Conway Hospital, Inc. CurrentSince Jul 20, 2020 Accepting new patients
River Hospital, Inc. CurrentSince Jan 7, 2016 Accepting new patients
Conway Hospital, Inc. Family Past Accepting new patients

Locations

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

4022 Postal Way
Myrtle Beach, SC 29579
Phone (843) 236-0000

4022 Postal Way
Ste 101
Myrtle Beach, SC 29579
Phone (843) 234-7360

Interoperability endpoints

  • Direct secure messaging: hewittb@hiemail.healtheconnections.org

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1548593122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PATIENT ACCOUNTING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946",
            "fax_number": "843-234-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 POSTAL WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793537",
            "telephone_number": "843-236-0000",
            "fax_number": "843-236-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 Highway 707, Ste 100",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887321",
            "country_code": "US",
            "telephone_number": "843-239-1005",
            "fax_number": "843-239-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "BRENDA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339792-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23069",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "465647-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "PATTERSON",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "FNP-C, MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.