Individual provider Active NPI

Maryum Tauseef Wicker, NP

  • Family Nurse Practitioner
  • Florence, SC
National Provider Identifier
1841855442
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22652 Issued in SC
Practice address
3015 W Palmetto St
Florence, SC 29501-5935
Phone
(843) 777-6890
Fax
(843) 777-6871
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 22652 SC
Family Nurse Practitioner 363LF0000X 22652 SC Primary

Addresses

Primary practice location

3015 W Palmetto St
Florence, SC 29501-5935

Mailing address

PO Box 23321
New York, NY 10087-4321

Other practice location 1

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-5100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)
Direct Messaging Address maryum.wicker@mpaii.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
I20191120003272 SC Practitioner - Nurse Practitioner 0345672861 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
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians

Practice addresses (Care Compare)

2200 S Irby St
Florence, SC 29505-3423
Phone (843) 662-9945

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

808 US 52 Hwy
Lake City, SC 29560-2480
Phone (803) 272-0702

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22652SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jan 20, 2026 Accepting new patients
Musc Community Physicians CurrentSince Jan 20, 2026 Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients
Lowcountry Urgent Care LLC Primary Care CurrentSince Oct 13, 2025 Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

1014 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 556-5585

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

2200 S Irby St
Florence, SC 29505
Phone (843) 662-9945

808 US 52 Hwy
Lake City, SC 29560
Phone (803) 272-0702

Interoperability endpoints

  • Direct secure messaging: mwicker89573@directmcleodehealth.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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1841855442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015935",
            "telephone_number": "843-777-6890",
            "fax_number": "843-777-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Pamplico Hwy",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295056047",
            "country_code": "US",
            "telephone_number": "843-674-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKER",
        "first_name": "MARYUM",
        "middle_name": "TAUSEEF",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22652",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "805 Pamplico Hwy",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295056047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryum.wicker@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "3015 W Palmetto St",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295015935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.