Active NPI
Eryn Berube, APRN
- Family Nurse Practitioner
- Myrtle Beach, SC
National Provider Identifier
1861024382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23721
- Practice address
- 9820 N Kings Hwy
Myrtle Beach, SC 29572-4013 - Phone
- (843) 497-2273
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 232143 | SC | |
| Family Nurse Practitioner | 363LF0000X | 23721 | SC | Primary |
Addresses
Primary practice location
9820 N Kings Hwy
Myrtle Beach, SC 29572-4013
Mailing address
325 Marquis CT
Myrtle Beach, SC 29579-7085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200911000049 | SC | Practitioner - Nurse Practitioner | 3870911621 | Reassigns benefits to 1 organization |
| I20260520001072 | FL | Practitioner - Nurse Practitioner | 3870911621 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brevard Physician Associates PLLC
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
Hospital & facility affiliations
- Conway Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232143 | SC | MD | Registered Nurse |
| 23721 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Carenow Urgent Care, LLC | Multi-Specialty | Current | Accepting new patients |
| Conway Hospital Emergency Professional Services | Multi-Specialty | Current | Accepting new patients |
Locations
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
9820 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 449-2273
Interoperability endpoints
- eberube26024@directmcleodehealth.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Conway, SC
- NPI 1487844510
Multi-Specialty, SC
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
Multi-Specialty
Hospital & facility affiliations 13
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": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1861024382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MARQUIS CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295797085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9820 N KINGS HWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724013",
"telephone_number": "843-497-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERUBE",
"first_name": "ERYN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "SC",
"license": "232143",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "23721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.