NPIMap

Individual provider Active NPI

Rachael Elizabeth Wills Rogers, NP

  • Gerontology Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1841853728
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
22400 Issued in SC
Practice address
255 Enterprise Blvd Ste 101
Greenville, SC 29615-3530
Phone
(864) 454-8120
Fax
(864) 454-8125
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22400 SC
Gerontology Nurse Practitioner 363LG0600X 22400 SC Primary

Addresses

Primary practice location

255 Enterprise Blvd Ste 101
Greenville, SC 29615-3530

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697

Other practice location 1

2270 Ashley Crossing Dr Ste 165
Charleston, SC 29414-5865
Phone (843) 936-4455

Other identifiers 1

IdentifierTypeStateIssuer
22400OtherSCSC BOARD OF NURSING LICENSE

Other names 1

  • Racheal E Wills Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 192.168.1.254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722000750 SC Practitioner - Nurse Practitioner 0840526323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Enterprise Blvd
Greenville, SC 29615-6300
Phone (864) 454-8120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John E. Emmel, MD, PC CurrentSince May 20, 2019 Accepting new patients
Liberty Doctors LLC CurrentSince Feb 1, 2020 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 16, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 16, 2024 Accepting new patients
Liberty Doctors, LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

418 Folly Rd
Charleston, SC 29412
Phone (843) 795-5362

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

27 Gamecock Ave
Ste 201
Charleston, SC 29407
Phone 8437698215 ext. 10

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

255 Enterprise Blvd
Ste 101
Greenville, SC 29615
Phone (864) 297-4929

255 Enterprise Blvd
Greenville, SC 29615
Phone (864) 454-0888

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

1049 Anna Knapp Blvd
#B
Mt Pleasant, SC 29464
Phone (843) 849-8800

Interoperability endpoints

  • Direct secure messaging: rwills812228@direct.ghs.myhfn.org

Organizations & group practices 5

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 46

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1841853728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ENTERPRISE BLVD STE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153530",
            "telephone_number": "864-454-8120",
            "fax_number": "864-454-8125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 Ashley Crossing Dr Ste 165",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145865",
            "country_code": "US",
            "telephone_number": "843-936-4455",
            "fax_number": "843-268-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "RACHAEL",
        "middle_name": "ELIZABETH WILLS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22400",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "22400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOARD OF NURSING LICENSE",
            "identifier": "22400",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "192.168.1.254",
            "affiliation": "N",
            "address_1": "27 Gamecock Ave Ste 201",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294073398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEAL",
            "last_name": "WILLS",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.