Individual provider Active NPI

Mariel Boyer, PA-C

  • Physician Assistant
  • Beaufort, SC
National Provider Identifier
1689077885
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1120603 Issued in NC
Practice address
1 Pinckney Blvd
Beaufort, SC 29902-6122
Phone
(843) 228-5149
Fax
(843) 228-5728
NPI assigned
Oct 1, 2014
Last updated
Oct 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1120603 NC Primary

Addresses

Primary practice location

1 Pinckney Blvd
Beaufort, SC 29902-6122

Mailing address

1 Pinckney Blvd
Beaufort, SC 29902-6122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180208000311 NC Practitioner - Physician Assistant 2163782343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-8 LLCGroup PAC ID 3870740012, 47 clinicians

Practice addresses (Care Compare)

103 Marketplace Dr
Suite 101
Sanford, NC 27332-7905
Phone (919) 897-2250

1602 Westover Dr
Sanford, NC 27330-7026
Phone (919) 897-2250

1690 US Hwy 1 S
Suite 100
Southern Pines, NC 28387-7037
Phone (910) 684-5066

208 W Salisbury St
Suite a
Asheboro, NC 27203-5576
Phone (336) 523-0040

225 Capital Dr
Suite 101
Carthage, NC 28327-6261
Phone (910) 215-5100

2919 Beechtree Dr
Sanford, NC 27330-6934
Phone (919) 897-2260

3716 Morganton Rd
Suite 2
Fayetteville, NC 28303-4963
Phone (910) 215-5100

4565 Fayetteville Rd
Raeford, NC 28376-7998
Phone (910) 878-5100

7473 NC Hwy 22
Whispering Pines, NC 28327-8514
Phone (910) 215-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
73
Promoting interoperability
94
Improvement activities
40
Cost
82.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1120603NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC CurrentSince Jun 27, 2022 Accepting new patients
MCPC-8, LLC CurrentSince Jun 27, 2022 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Organizations & group practices 6

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1689077885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026122",
            "telephone_number": "843-228-5149",
            "fax_number": "843-228-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MARIEL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "1120603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.