MR. NICHOLAS HAGANDORA FNP
NPI 1205428893
Nurse Practitioner - Family in Conway, SC

Q: What is Nicholas Hagandora's NPI number?

The NPI number for Nicholas Hagandora is 1205428893. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Q: What is Nicholas Hagandora's specialty?

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

Active since February 05, 2021PECOS EnrolledAccepts Medicare Assignment

72.72/100

CMS Quality Rating

2376 CYPRESS CIR STE 102, CONWAY, SC 29526(843) 347-8953(843) 347-0226 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Feb 5, 2021 (2 updates tracked since 2021).

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About Mr. Nicholas Hagandora Fnp NPPES

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

MR. NICHOLAS HAGANDORA FNP (NPI 1205428893) is an individual family provider in Conway, South Carolina, licensed in South Carolina (24654) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and maintains a secondary practice location in Myrtle Beach.

NPPES Registry Identity

NPI1205428893

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. NICHOLAS HAGANDORACredential: FNP

Location Address2376 CYPRESS CIR STE 102Conway, SC 29526-8964

Mailing Address300 Singleton Ridge Road, Attention Patient AccountingConway, SC 29526-9142 · (843) 234-6946

Phone(843) 347-8953

Fax(843) 347-0226

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 5, 2021

Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1205428893 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 · 24654

2376 CYPRESS CIR STE 102, Conway, SC 29526

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Secondary Practice Location 1

Location 16010 Highway 707 Ste 200Myrtle Beach, SC 29588-7321 · Phone (843) 347-8953 · Fax (843) 347-0226

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.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

Mr. Nicholas Hagandora Fnp 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 ID4486062403

PECOS Enrollment IDI20210412002201

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 4

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.

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

219 services218 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.

205 services120 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.

95 services81 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

18 services13 patients

Hospital Affiliations CMS Care Compare

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

Conway Medical Center

Acute Care Hospitals · Conway, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420049

Location300 Singleton Ridge RoadConway, SC 29526 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29526 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.

72.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.98

Promoting Interoperability

100

Improvement Activities

Cost

48.1

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Other Providers at the Same Location NPPES 10

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

DR. JESU VIJAY SHELDON JOSEPH MICHAEL RAJ M.D.

Internal Medicine (Interventional Cardiology)