Individual provider Active NPI

Stephen L Schwade

  • Acute Care Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1790403657
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
27167 Issued in SC
Practice address
1122 Chuck Dawley Blvd Ste 200
Mt Pleasant, SC 29464-4183
Phone
(843) 884-8045
Fax
(843) 881-5081
NPI assigned
Aug 17, 2022
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 27167 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1122 Chuck Dawley Blvd Ste 200
Mt Pleasant, SC 29464-4183

Mailing address

1122 Chuck Dawley Blvd Ste 200
Mt Pleasant, SC 29464-4183
Phone (843) 884-8045

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
I20230711000795 SC Practitioner - Nurse Practitioner 6709245699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
69.85 of 100Reported as group
Quality
78.57
Improvement activities
20
Cost
78.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27167SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital, Inc. Current Accepting new patients
Roper Hospital Inc. CurrentSince Aug 25, 2024 Accepting new patients
Urology Associates of Charleston LLC CurrentSince Jul 1, 2023 Accepting new patients
Roper Hospital, Inc CurrentSince Aug 25, 2024 Accepting new patients

Locations

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

1122 Chuck Dawley Blvd
Ste 200
Mt Pleasant, SC 29464

300 Callen Blvd
Ste 220
Summerville, SC 29486
Phone (843) 720-8369

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: stephenschwade@uacharleston.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1790403657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 CHUCK DAWLEY BLVD STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644183",
            "telephone_number": "843-884-8045",
            "fax_number": "843-881-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CHUCK DAWLEY BLVD STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644183",
            "telephone_number": "843-884-8045",
            "fax_number": "843-881-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWADE",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-17",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "27167",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.