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WANDA W GRAINGER FNP
NPI 1073684577
Nurse Practitioner - Family in Loris, SC

Active since November 13, 2006PECOS Enrolled
3109 CASEY ST, SUITE A, LORIS, SC 29569(843) 756-9292(843) 756-9260 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wanda W Grainger Fnp NPPES

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

WANDA W GRAINGER FNP (NPI 1073684577) is an individual family provider in Loris, South Carolina, licensed in South Carolina (1033) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073684577
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWANDA W GRAINGERCredential: FNP
Location Address3109 CASEY ST, SUITE ALoris, SC 29569-2807
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 392-9222 · Fax (843) 392-1445
Phone(843) 756-9292
Fax(843) 756-9260
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1073684577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 1033
3109 CASEY ST, Loris, SC 29569
Open in Google Maps ↗

Other Identifiers 2

OtherAA58658552SC · Medicare Ptan
MedicaidNP0792SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanda W Grainger Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29569 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims30 services$6.62 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.19 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$37.87 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 8

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

MCLEOD PHYSICIAN ASSOCIATES II
Family Medicine
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-9292
SEASHORE PEDIATRICS
Pediatrics
3109 CASEY ST, BOX 669
LORIS, SC 29569
Horry County (843) 716-2229
MCLEOD PHYSICIAN ASSOCIATES II
Internal Medicine
3109 CASEY ST, SUITE B
LORIS, SC 29569
Horry County (843) 756-8090
MRS. DONNA C SELLERS FNP
Nurse Practitioner (Family)
3109 CASEY ST, SUITE A
LORIS, SC 29569
Horry County (843) 756-9292
MRS. ASHLEY SMITH WILSON P.A.
Physician Assistant
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-9292
DR. GARY JOSEPH BARRETT MD
Internal Medicine
3109 CASEY ST, SUITE B
LORIS, SC 29569
Horry County (843) 756-8090
ASHLEY NICOLE TILLER PA-C
Physician Assistant
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-9292
GARY J BARRETT MD PA
Internal Medicine
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-8090

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 Wanda Grainger's NPI number?

The NPI number for Wanda Grainger is 1073684577. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Wanda Grainger located?

Wanda Grainger practices at 3109 Casey St Suite A, Loris, SC 29569. The listed phone number is (843) 756-9292.

What is Wanda Grainger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Wanda Grainger enrolled in Medicare?

Yes. Wanda Grainger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wanda Grainger was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.