1. Home
  2. Directory
  3. South Carolina
  4. Lake Wylie
  5. Nurse Practitioner
  6. NPI Profile

MRS. FREEDOM LEE PROCTOR CRNP
NPI 1275991309
Nurse Practitioner - Family in Lake Wylie, SC

Active since February 03, 2016Opted out of Medicare · through Jul 1, 2027
84.71/100
CMS Quality Rating
1516 VILLAGE HARBOR DR, LAKE WYLIE, SC 29710(803) 752-4200(803) 752-4300 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 1, 2024, Jun 4, 2023, Jun 17, 2021 and 4 more (7 updates tracked since 2016).

About Mrs. Freedom Lee Proctor Crnp NPPES

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

MRS. FREEDOM LEE PROCTOR CRNP (NPI 1275991309) is an individual family provider in Lake Wylie, South Carolina, licensed in South Carolina (24909) and active in the NPI registry since February 2016. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1275991309
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. FREEDOM LEE PROCTORCredential: CRNP
Location Address1516 VILLAGE HARBOR DRLake Wylie, SC 29710-9060
Mailing Address743 Irish Green DrClover, SC 29710-6076 · (724) 712-6880
Phone(803) 752-4200
Fax(803) 752-4300
Sole ProprietorNo
Enumeration DateFebruary 3, 2016
Last NPPES UpdateJuly 1, 20247 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1275991309 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
Licenses✔ Licensed in SC · 24909✔ Licensed in PA · SP015911
1516 VILLAGE HARBOR DR, Lake Wylie, SC 29710
Open in Google Maps ↗

Other Names 1

Former Name (1)Freedom Lee Defelice, Bevington-proctor

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Freedom Lee Proctor Crnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

84.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.42
Improvement Activities40
Cost90.44

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 Freedom Proctor's NPI number?

The NPI number for Freedom Proctor is 1275991309. It was assigned to this individual provider in the NPPES registry on February 3, 2016. The provider is also known as Freedom Lee Defelice, Bevington-Proctor.

Where is Freedom Proctor located?

Freedom Proctor practices at 1516 Village Harbor Dr, Lake Wylie, SC 29710. The listed phone number is (803) 752-4200.

What is Freedom Proctor's specialty?

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

Is Freedom Proctor enrolled in Medicare?

No. Freedom Proctor has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Freedom Proctor was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.