Individual provider Active NPI

Anna Schlicher Wyatt, PA-C

  • Medical Physician Assistant
  • N Charleston, SC
National Provider Identifier
1790025245
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2394 Issued in SC
Practice address
8901 University Blvd
N Charleston, SC 29406-9116
Phone
(843) 203-2245
Fax
(843) 203-2244
NPI assigned
Feb 20, 2013
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-04069 NC
Medical Physician Assistant 363AM0700X 2394 SC Primary

Addresses

Primary practice location

8901 University Blvd
N Charleston, SC 29406-9116

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620

Other identifiers 2

IdentifierTypeStateIssuer
2490PAMedicaidSC
8103158MedicaidNC

Other names 1

  • Anna Elise Schlicher Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Anna.Wyatt@rsfpp.eclinicaldirectplus.com Direct

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
I20160107000945 SC Practitioner - Physician Assistant 3678718616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1114 N Main St
Summerville, SC 29483-7326
Phone (843) 212-8070

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

319 Folly Rd
Charleston, SC 29412-2518
Phone (843) 723-8823

3885 W Ashley Cir
Suite F600
Charleston, SC 29414-9273
Phone (843) 853-3474

4278 Ladson Rd
Ladson, SC 29456-5452
Phone (844) 975-6683

8901 University Blvd
N Charleston, SC 29406-9116
Phone (843) 789-1850

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Nov 30, 2015 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Nov 30, 2015 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

1 S Park Cir
Ste 400
Charleston, SC 29407
Phone (843) 789-1651

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

8901 University Blvd
North Charleston, SC 29406
Phone (843) 203-2245

Interoperability endpoints

  • Direct secure messaging: anna.wyatt@rsfpp.eclinicaldirectplus.com
  • Direct secure messaging: awyatt1236078@direct.bsmhealth.org

Organizations & group practices 4

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 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": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1790025245",
    "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": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 UNIVERSITY BLVD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069116",
            "telephone_number": "843-203-2245",
            "fax_number": "843-203-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "ANNA",
        "middle_name": "SCHLICHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-04069",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2490PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8103158",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anna.Wyatt@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "8901 University Blvd",
            "city": "N Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SCHLICHER",
            "middle_name": "ELISE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.