DR. ELIZABETH M MCMICKEN DNP, FNP-C
NPI 1023538030
Nurse Practitioner in West Columbia, SC

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
131 SUNSET CT, WEST COLUMBIA, SC 29169(803) 796-2222(803) 796-7839 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2020, Oct 7, 2020, Oct 1, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Elizabeth M Mcmicken Dnp, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELIZABETH M MCMICKEN DNP, FNP-C (NPI 1023538030) is an individual nurse practitioner in West Columbia, South Carolina, licensed in South Carolina (21044) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023538030
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. ELIZABETH M MCMICKENCredential: DNP, FNP-C
Location Address131 SUNSET CTWest Columbia, SC 29169-2429
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 796-7839
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 21, 2017
Last NPPES UpdateNovember 9, 20206 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
NPI 1023538030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SC · 21044
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 21044 (SC)
131 SUNSET CT, West Columbia, SC 29169

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Elizabeth M Mcmicken Dnp, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567737315
PECOS Enrollment IDI20171004003848
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
346 services165 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
278 services164 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
154 services90 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
110 services110 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
102 services79 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
94 services50 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$169.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
131 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine
131 SUNSET CT
WEST COLUMBIA, SC 29169
Nurse Practitioner (Primary Care)
131 SUNSET CT
WEST COLUMBIA, SC 29169
Nurse Practitioner
131 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine
131 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine
131 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine
131 SUNSET CT
WEST COLUMBIA, SC 29169
Internal Medicine
131 SUNSET CT
WEST COLUMBIA, SC 29169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Mcmicken's NPI number?

The NPI number for Elizabeth Mcmicken is 1023538030. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Elizabeth Mcmicken located?

Elizabeth Mcmicken practices at 131 Sunset Ct, West Columbia, SC 29169. The listed phone number is (803) 796-2222.

What is Elizabeth Mcmicken's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elizabeth Mcmicken enrolled in Medicare?

Yes. Elizabeth Mcmicken is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elizabeth Mcmicken accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Elizabeth Mcmicken as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elizabeth Mcmicken affiliated with any hospitals?

According to CMS data, Elizabeth Mcmicken is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Elizabeth Mcmicken was last updated on November 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.