WANDA W GRAINGER FNP
NPI 1073684577
Nurse Practitioner - Family in Loris, SC
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
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wanda W Grainger Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Wanda Grainger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Florence, SC 29506
- Reassigned Medicare billing, South Carolina enrollment
- 878 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Wanda Grainger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Grainger reassigns Medicare benefits to Mcleod Physician Associates II (Florence, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wanda Grainger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Wanda W Grainger, FNP · NPI 1073684577
Family physician in Loris, South Carolina. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1073684577 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1033 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3109 CASEY ST, SUITE A, Loris, SC 29569-2807
- **Phone:** (843) 756-9292 · **Fax:** (843) 756-9260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mcleod Physician Associates II (NPI 1649428194, Florence, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2021
- **Other identifiers:** Other AA58658552 (SC); Medicaid NP0792 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1073684577) · Data from the CMS NPPES public registry.