Active NPI
Mollie L Huskey, CPNP
- Pediatric Nurse Practitioner
- Union, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 17745
- Practice address
- 407 W South St
Union, SC 29379-2771 - Phone
- (864) 429-8846
- Fax
- (864) 429-9093
- NPI assigned
- Mar 7, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 17745 | SC | Primary |
Addresses
Primary practice location
407 W South St
Union, SC 29379-2771
Mailing address
720 S Duncan Byp
Union, SC 29379-7830
Phone (864) 427-4081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2222 | Medicaid | SC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171129002746 | SC | Practitioner - Nurse Practitioner | 1052678059 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospice Care of South Carolina LLC
Practice addresses (Care Compare)
136 Stonemark LN
Suite 100C
Columbia, SC 29210-3881
Phone (800) 932-2738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice Care of South Carolina, LLC | Current | Accepting new patients | |
| Hospice Care of South Carolina, LLC | Past | Accepting new patients |
Locations
136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661
136 Stonemark Ln
Ste 100
Columbia, SC 29210
Phone (803) 603-4821
187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (864) 630-8469
Organizations & group practices 2
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Columbia, SC
- NPI 1174956098
SC
-
- Community Based Hospice Care Agency
- Spartanburg, SC
- NPI 1558457804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1659645612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S DUNCAN BYP",
"city": "UNION",
"state": "SC",
"postal_code": "293797830",
"telephone_number": "864-427-4081",
"fax_number": "864-427-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W SOUTH ST",
"city": "UNION",
"state": "SC",
"postal_code": "293792771",
"telephone_number": "864-429-8846",
"fax_number": "864-429-9093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSKEY",
"first_name": "MOLLIE",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-07",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "17745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2222",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.