Individual provider Active NPI

Marcia Frazao Luis, FNP

  • Community Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1750809612
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
21263 Issued in SC
Practice address
800 Pelham Rd
Greenville, SC 29615-3300
Phone
(864) 234-5800
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 21263 SC Primary

Addresses

Primary practice location

800 Pelham Rd
Greenville, SC 29615-3300

Mailing address

800 Pelham Rd
Greenville, SC 29615-3300
Phone (864) 234-5800

Other names 1

  • Ms. Marcia Frazao Luis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171031002484 SC Practitioner - Nurse Practitioner 9739455049 Reassigns benefits to 2 organizations
I20231130001021 NY Practitioner - Nurse Practitioner 9739455049 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Family Practice PC CurrentSince Dec 1, 2023 Accepting new patients
St Francis Physician Services Inc CurrentSince Sep 15, 2017 Accepting new patients
St Francis Physician Services Inc CurrentSince Sep 15, 2017 Accepting new patients
Woodruff Road Urgent Care Center, P.C. Current Accepting new patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Jun 27, 2018 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

800 Pelham Rd
Greenville, SC 29615
Phone (864) 234-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1750809612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-234-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-234-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS",
        "first_name": "MARCIA",
        "middle_name": "FRAZAO",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "SC",
            "license": "21263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "LUIS",
            "middle_name": "FRAZAO",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.