Individual provider Active NPI

Loren Elizabeth Dupuis, PA-C

  • Surgical Physician Assistant
  • Mt Pleasant, SC
National Provider Identifier
1700432994
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3287 Issued in SC
Practice address
3510 Highway 17 Byp N Ste 325
Mt Pleasant, SC 29466-8232
Phone
(843) 723-2835
Fax
(843) 606-8007
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0001329 DE
Surgical Physician Assistant 363AS0400X 3287 SC Primary

Addresses

Primary practice location

3510 Highway 17 Byp N Ste 325
Mt Pleasant, SC 29466-8232

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other practice location 1

30 Courtenay Drive
Charleston, SC 29425-3530
Phone (843) 792-2391

Other names 1

  • Loren Elizabeth Danese Former name

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
I20200401000519 SC Practitioner - Physician Assistant 2466781760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 723-6426

3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 723-6426

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3287SCMDGeneral Practice Dentistry
C5-0001329DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Mar 12, 2020 Accepting new patients
Roper St. Francis Specialty Physicians Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Nov 18, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Nov 18, 2024 Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

3510 N Highway 17
Ste 325
Mt Pleasant, SC 29466
Phone (843) 556-0036

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: ldupuis2739602@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1700432994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 HIGHWAY 17 BYP N STE 325",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668232",
            "telephone_number": "843-723-2835",
            "fax_number": "843-606-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Courtenay Drive",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294253530",
            "country_code": "US",
            "telephone_number": "843-792-2391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPUIS",
        "first_name": "LOREN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001329",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "3287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOREN",
            "last_name": "DANESE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.