Individual provider Active NPI

Tricia Amelung, FNP

  • Primary Care Nurse Practitioner
  • Hilton Head Island, SC
National Provider Identifier
1902358393
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
20461 Issued in SC
Practice address
23 N Main St
Ste 303
Hilton Head Island, SC 29926-6614
Phone
(843) 816-7266
NPI assigned
Nov 1, 2016
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 20461 SC Primary

Addresses

Primary practice location

23 N Main St
Ste 303
Hilton Head Island, SC 29926-6614

Mailing address

23 N Main St
Ste 303
Hilton Head Island, SC 29926-6614
Phone (843) 816-7266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161229000947 NC Practitioner - Nurse Practitioner 2860773116 Reassigns benefits to 1 organization
I20191021000030 SC Practitioner - Nurse Practitioner 2860773116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23 Main St
Suite 103
Hilton Head, SC 29926-6607
Phone (843) 638-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20461SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Regional Medical Center, Inc. CurrentSince Nov 28, 2016 Accepting new patients
Jonathan L Sack, MD, PC Family Medicine CurrentSince Aug 22, 2019 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Nov 28, 2016 Accepting new patients
Lowcountry Family Care LLC CurrentSince Jun 29, 2021 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

2 Marshland Rd
Ste 5
Hilton Head Island, SC 29926
Phone (843) 842-2900

23 Main St
Ste 103
Hilton Head Island, SC 29926
Phone (803) 290-1898

23 Main St
Ste 303
Hilton Head Island, SC 29926
Phone (843) 342-8890

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 5

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1902358393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N MAIN ST",
            "address_2": "STE 303",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266614",
            "telephone_number": "843-816-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N MAIN ST",
            "address_2": "STE 303",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266614",
            "telephone_number": "843-816-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMELUNG",
        "first_name": "TRICIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "20461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.