Individual provider Active NPI

Ann Trapp

  • Family Nurse Practitioner
  • Moore, SC
National Provider Identifier
1679864243
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25965 Issued in SC
Practice address
5895 Reidville Rd
Moore, SC 29369-8409
Phone
(864) 486-6990
NPI assigned
Apr 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X 28096473A IN
Family Nurse Practitioner 363LF0000X 25965 SC Primary
Nurse Practitioner 363L00000X 95012419 CA
Family Nurse Practitioner 363LF0000X 95012419 CA
Family Nurse Practitioner 363LF0000X NP95012419 CA

Addresses

Primary practice location

5895 Reidville Rd
Moore, SC 29369-8409

Mailing address

5895 Reidville Rd
Moore, SC 29369-8409
Phone (864) 486-6990

Other practice location 1

1515 E Main St
Duncan, SC 29334-9218
Phone (864) 984-0773

Other identifiers 1

IdentifierTypeStateIssuer
201190350MedicaidIN

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
I20221021002122 SC Practitioner - Nurse Practitioner 3870767064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

1515 E Main St
Duncan, SC 29334-9218
Phone (843) 984-0773

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95012419CAMDFamily Nurse Practitioner
28096473AINMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1515 E Main St
Duncan, SC 29334
Phone (843) 984-0773

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

1501 Wo Ezell Blvd
Spartanburg, SC 29301
Phone (864) 719-4220

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: atrapp751609@direct.ghs.myhfn.org

Organizations & group practices 1

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1679864243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5895 REIDVILLE RD",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293698409",
            "telephone_number": "864-486-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 REIDVILLE RD",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293698409",
            "telephone_number": "864-486-6990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E Main St",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "SC",
            "postal_code": "293349218",
            "country_code": "US",
            "telephone_number": "864-984-0773",
            "fax_number": "864-984-0783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAPP",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "IN",
            "license": "28096473A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25965",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012419",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012419",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95012419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201190350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, SC

Sources for this page

Verify at the official NPI Registry.