Active NPI
Amanda Rose Tyler, ACNPC-AG
- Acute Care Nurse Practitioner
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 25169
- Practice address
- 1594 Freedom Blvd Ste 100C
Florence, SC 29505-6046 - Phone
- (843) 674-4787
- NPI assigned
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 25169 | SC | Primary |
Addresses
Primary practice location
1594 Freedom Blvd Ste 100C
Florence, SC 29505-6046
Mailing address
970 Cardinal Cir
Florence, SC 29505-3014
Phone (843) 615-3700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1594 Freedom Blvd
Florence, SC 29505-6046
Phone (843) 674-4787
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1594 Freedom Blvd
Ste 100C
Florence, SC 29505
Phone (843) 674-4787
1594 Freedom Blvd
Ste 100
Florence, SC 29505
Phone (843) 674-4760
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
Interoperability endpoints
- afishel252139@direct.musc.edu
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.
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
dba MUSC Physicians PCP
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
dba MUSC Physicians PC
- Internal Medicine Physician
- Lancaster, SC
- NPI 1275564098
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
dba MUSC Community Physicians PC
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
dba RMC Pharmacy
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1467709881
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1609538412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 CARDINAL CIR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295053014",
"telephone_number": "843-615-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1594 FREEDOM BLVD STE 100C",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056046",
"telephone_number": "843-674-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "AMANDA",
"middle_name": "ROSE",
"credential": "ACNPC-AG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "25169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.