Individual provider Active NPI

Dianne Landis Bretz, FNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1659587764
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1594 Issued in SC
Practice address
222 E Medical LN Ste 300
West Columbia, SC 29169-4848
Phone
(803) 936-8100
Fax
(803) 936-8130
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1594 SC Primary

Addresses

Primary practice location

222 E Medical LN Ste 300
West Columbia, SC 29169-4848

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other names 1

  • Ms. Diane Hurst Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbretz11093@direct.lexmed.com

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
I20090901000160 SC Practitioner - Nurse Practitioner 7618022468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

222 E Medical LN
West Columbia, SC 29169-4848

557 Columbia Ave
Chapin, SC 29036-8324

565 Columbia Ave
Chapin, SC 29036-8324

811 W Main St
Lexington, SC 29072-2500

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

1 Wellness Blvd
Ste 203
Irmo, SC 29063
Phone (803) 732-4608

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400

2006 Augusta Hwy
Lexington, SC 29072
Phone (803) 358-6400

3314 Platt Springs Rd
West Columbia, SC 29170
Phone (803) 791-3494

222 E Medical Ln
Ste 300
West Columbia, SC 29169
Phone (803) 739-3570

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1659587764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MEDICAL LN STE 300",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694848",
            "telephone_number": "803-936-8100",
            "fax_number": "803-936-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETZ",
        "first_name": "DIANNE",
        "middle_name": "LANDIS",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "SC",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbretz11093@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "222 E Medical Ln Ste 300",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "HURST",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.