Individual provider Active NPI

Laura Kay Lybarger, CRNP

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1649535626
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18687 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425-2021
Phone
(843) 792-1414
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012176 PA
Family Nurse Practitioner 363LF0000X 18687 SC Primary

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425-2021

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Other practice location 1

220 N Main St Ste 500
Greenville, SC 29601-2129
Phone (864) 920-3665

Other practice location 2

220 N Main St Ste 500
Greenville, SC 29601-2129
Phone (864) 920-3665

Other practice location 3

171 Ashley Ave
Charleston, SC 29425-2021
Phone (843) 792-1414

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
I20140930002576 SC Practitioner - Nurse Practitioner 4385894989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Family Care IncGroup PAC ID 4587557731, shared by 3 NPIs, 81 clinicians

Practice addresses (Care Compare)

1208 Two Island CT
Mount Pleasant, SC 29466-7436
Phone (843) 884-6653

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

2051 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 573-2535

2067 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 573-2535

2075 Charlie Hall Blvd
Suite B
Charleston, SC 29414-5834
Phone (843) 876-3157

Hospital & facility affiliations

  • Musc Health at Home, by Bayada- Charleston Home health agency, Charleston, SC, CCN 427004
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
93.96 of 100Reported as group
Quality
89.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012176PAMDFamily Nurse Practitioner
18687SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Jul 13, 2017 Accepting new patients
Carolina Family Care, Inc CurrentSince Nov 1, 2020 Accepting new patients
Carolina Family Care, Inc CurrentSince Nov 1, 2020 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Carolina Family Care, Inc CurrentSince Nov 1, 2020 Accepting new patients
Charleston Pediatrics Past Accepting new patients
Carolina Family Care, Inc Past Accepting new patients

Locations

490 Martello Dr
Charleston, SC 29412
Phone (843) 762-4963

2075 Charlie Hall Blvd
#B
Charleston, SC 29414
Phone (843) 876-3157

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

30 Bee St
#2100
Charleston, SC 29403
Phone (843) 792-6500

2125 Charlie Hall Blvd
Ste 2B
Charleston, SC 29414
Phone (843) 852-3151

864 Island Park Dr
Ste 101
Daniel Island, SC 29492
Phone (843) 792-4500

1003 Landfall Way
Johns Island, SC 29455
Phone (843) 768-0888

1440 Ben Sawyer Blvd
Ste 1111
Mount Pleasant, SC 29464

1440 Ben Sawyer Blvd
Mt Pleasant, SC 29464
Phone (843) 388-2504

1440 Ben Sawyer Blvd
Ste 1109
Mt Pleasant, SC 29464
Phone (843) 876-8333

1113 Park West Blvd
Mt Pleasant, SC 29466
Phone (843) 876-1445

1200 Innovation Way
Ste 101B
Mt Pleasant, SC 29466
Phone (843) 876-1445

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

1600 Midtown Ave
Mt Pleasant, SC 29464
Phone (843) 284-6555

8992 University Blvd
Ste 300N
North Charleston, SC 29406

8471 Resolute Way
Ste 102
North Charleston, SC 29420
Phone (843) 876-2879

8992 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 876-8279

2000 1st Ave
Summerville, SC 29486
Phone (843) 876-7930

87 Springview Ln
Summerville, SC 29485
Phone (843) 876-7979

Interoperability endpoints

  • Direct secure messaging: llybarger225632@direct.musc.edu

Organizations & group practices 7

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 7

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649535626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294252021",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 N Main St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296012129",
            "country_code": "US",
            "telephone_number": "864-920-3665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 N Main St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296012129",
            "country_code": "US",
            "telephone_number": "864-920-3665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294252021",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYBARGER",
        "first_name": "LAURA",
        "middle_name": "KAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012176",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.