TEQUILA ANDERSON NP
NPI 1194553826
Nurse Practitioner - Primary Care in West Columbia, SC

Q: What is Tequila Anderson's NPI number?

The NPI number for Tequila Anderson is 1194553826. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Q: What is Tequila Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Tequila Anderson was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since July 24, 2024PECOS EnrolledAccepts Medicare Assignment

1612 AIRPORT BLVD, WEST COLUMBIA, SC 29169(803) 380-6399(877) 484-7187 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2026, Oct 7, 2024, Jul 24, 2024 (3 updates tracked since 2024).

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About Tequila Anderson Np NPPES

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

TEQUILA ANDERSON NP (NPI 1194553826) is an individual primary care provider in West Columbia, South Carolina, licensed in South Carolina (29092) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Baptist, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194553826

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameTEQUILA ANDERSONCredential: NP

Location Address1612 AIRPORT BLVDWest Columbia, SC 29169-5016

Mailing Address1612 Airport BlvdWest Columbia, SC 29169-5016 · (803) 380-6399 · Fax (877) 484-7187

Phone(803) 380-6399

Fax(877) 484-7187

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 24, 2024

Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1194553826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in SC · 29092

1612 AIRPORT BLVD, West Columbia, SC 29169

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Other Identifiers 1

MedicaidNN0622SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tequila Anderson Np 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 ID9931647526

PECOS Enrollment IDI20240814001390

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.

Medicare Billing Reassignments

Medicare enrollment records show Tequila Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centerwell Senior Primary Care Sc Jv PC

Same address

Internal Medicine

1612 AIRPORT BLVD
West Columbia, SC 29169

Reassigned Medicare billing, South Carolina enrollment
34 clinicians in this Medicare group

NPI 1962101501 (803) 380-6399

Eau Claire Cooperative Health Center Inc.

0.9 mi

Federally Qualified Health Center (FQHC)

407 N BROWN ST
West Columbia, SC 29169

Reassigned Medicare billing, South Carolina enrollment
145 clinicians in this Medicare group

NPI 1538674254 (803) 995-8936

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.

19 services18 patients

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.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420086

Location1330 Taylor At Marion StColumbia, SC 29220 · Richland 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.

Other Providers at the Same Location NPPES 4

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

ASHLEY NIX FNP

Nurse Practitioner (Family)

1612 AIRPORT BLVD
WEST COLUMBIA, SC 29169

Lexington County (803) 380-6399

LORELI MUNFORD

Internal Medicine

1612 AIRPORT BLVD
WEST COLUMBIA, SC 29169

Lexington County (803) 380-6399

ROBERT MORRIS SMITH M.D.

Family Medicine

1612 AIRPORT BLVD
WEST COLUMBIA, SC 29169

Lexington County (803) 380-6399

CENTERWELL SENIOR PRIMARY CARE SC JV PC

Internal Medicine

1612 AIRPORT BLVD
WEST COLUMBIA, SC 29169

Lexington County (803) 380-6399

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 Tequila Anderson's NPI number?

The NPI number for Tequila Anderson is 1194553826. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Tequila Anderson located?

Tequila Anderson practices at 1612 Airport Blvd, West Columbia, SC 29169. The listed phone number is (803) 380-6399.

What is Tequila Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tequila Anderson enrolled in Medicare?

Yes. Tequila Anderson 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.

Which organizations bill Medicare for Tequila Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tequila Anderson reassigns Medicare benefits to 2 organizations: Centerwell Senior Primary Care Sc Jv PC (West Columbia, SC) and Eau Claire Cooperative Health Center Inc. (West Columbia, SC). Each 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 Tequila Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tequila Anderson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Tequila Anderson 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 Tequila Anderson affiliated with any hospitals?

According to CMS data, Tequila Anderson is affiliated with Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Tequila Anderson was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.