Individual provider Active NPI

Alexis Michelle Lipps, RN

  • Nurse Practitioner
  • Bluffton, SC
National Provider Identifier
1659002954
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26337 Issued in SC
Practice address
100 Buckwalter Place Blvd Ste 130
Bluffton, SC 29910-5023
Phone
(843) 836-7101
Fax
(843) 836-7112
NPI assigned
Jun 19, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26337 SC Primary
Oncology Registered Nurse 163WX0200X 264704 SC

Addresses

Primary practice location

100 Buckwalter Place Blvd Ste 130
Bluffton, SC 29910-5023

Mailing address

45 Hospital Center CMNS
Hilton Head Island, SC 29926-2837
Phone (843) 689-2895

Other practice location 1

45 Hospital Center Cmns
Hilton Head Island, SC 29926-2837
Phone (843) 689-2895

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
I20220914002596 SC Practitioner - Nurse Practitioner 5597140376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Buckwalter Place Blvd
Suite 130
Bluffton, SC 29910-5154
Phone (843) 836-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.05 of 100Reported as group
Quality
76.86
Improvement activities
40
Cost
71.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264704SCMDOncology Registered Nurse
26337SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Cancer Specialist, P.a. CurrentSince Aug 1, 2022 Accepting new patients
South Carolina Cancer Specialist, P.a. CurrentSince Aug 1, 2022 Accepting new patients
South Carolina Cancer Specialist, P.a. Past Accepting new patients

Locations

100 Buckwalter Place Blvd
Ste 130
Bluffton, SC 29910
Phone (843) 836-7100

25 Hospital Ctr
Ste 301
Hilton Head Island, SC 29926
Phone (843) 689-2895

45 Hospital Center Cmns
Hilton Head Island, SC 29926
Phone (843) 689-2895

45 Hospital Center Cmns
Ste 200
Hilton Head Island, SC 29926
Phone (843) 689-2895

Organizations & group practices 3

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 4

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": "1655596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1659002954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HOSPITAL CENTER CMNS",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262837",
            "telephone_number": "843-689-2895",
            "fax_number": "843-689-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUCKWALTER PLACE BLVD STE 130",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105023",
            "telephone_number": "843-836-7101",
            "fax_number": "843-836-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Hospital Center Cmns",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299262837",
            "country_code": "US",
            "telephone_number": "843-689-2895",
            "fax_number": "843-689-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPPS",
        "first_name": "ALEXIS",
        "middle_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-19",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "26337",
            "primary": true
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "SC",
            "license": "264704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.