LISA FANNING ETHERIDGE FNP/APRN
NPI 1245784669
Nurse Practitioner - Family in Orangeburg, SC
About Lisa Fanning Etheridge Fnp/aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA FANNING ETHERIDGE FNP/APRN (NPI 1245784669) is an individual family provider in Orangeburg, South Carolina, licensed in South Carolina (20081) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Barnwell.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Lisa Fanning Etheridge Fnp/aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Etheridge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orangeburg, SC 29118
- Reassigned Medicare billing, South Carolina enrollment
- 36 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ORANGEBURG, SC 29118
ORANGEBURG, SC 29118
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 Lisa Etheridge's NPI number?
The NPI number for Lisa Etheridge is 1245784669. It was assigned to this individual provider in the NPPES registry on August 15, 2016. The provider is also known as Lisa Fanning Smith.
Where is Lisa Etheridge located?
Lisa Etheridge practices at 1175 Cook Rd Ste 320, Orangeburg, SC 29118. The listed phone number is (803) 395-3960.
What is Lisa Etheridge's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Etheridge enrolled in Medicare?
Yes. Lisa Etheridge 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 Lisa Etheridge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Etheridge reassigns Medicare benefits to 2 organizations: The Regional Medical Center Of Orangeburg And Calhoun Counties (Orangeburg, SC) and Musc Community Physicians (Bamberg, 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 Lisa Etheridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Etheridge accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Lisa Etheridge 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 Lisa Etheridge affiliated with any hospitals?
According to CMS data, Lisa Etheridge is affiliated with Musc Medical Center.
When was this NPI record last updated?
The NPPES record for Lisa Etheridge was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lisa Fanning Etheridge, FNP/APRN · NPI 1245784669
Family physician in Orangeburg, South Carolina. Individual provider, active in the CMS NPPES registry since August 15, 2016.
## Identity
- **NPI:** 1245784669 (Entity type: Individual)
- **Enumerated:** August 15, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 20081 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1175 COOK RD STE 320, Orangeburg, SC 29118-8247
- **Phone:** (803) 395-3960
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Regional Medical Center Of Orangeburg And Calhoun Counties (NPI 1023457389, Orangeburg, SC); Musc Community Physicians (NPI 1841878006, Bamberg, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Other 7389
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Source: [NPI Profile](https://npiprofile.com/npi/1245784669) · Data from the CMS NPPES public registry.