MANDA RAE WETZEL FNP
NPI 1295374692
Nurse Practitioner - Family in Myrtle Beach, SC

Q: What is Manda Wetzel's NPI number?

The NPI number for Manda Wetzel is 1295374692. It was assigned to this individual provider in the NPPES registry on January 2, 2020. The provider is also known as Manda Rae Beshore Fnp.

Q: What is Manda Wetzel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Manda Wetzel was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 02, 2020PECOS EnrolledAccepts Medicare Assignment

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-1000 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2026, Jan 2, 2020 (2 updates tracked since 2020).

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About Manda Rae Wetzel Fnp NPPES

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

MANDA RAE WETZEL FNP (NPI 1295374692) is an individual family provider in Myrtle Beach, South Carolina, licensed in South Carolina (23454) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295374692

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMANDA RAE WETZELCredential: FNP

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address9600 Two Notch Rd Ste 5Columbia, SC 29223-1612 · (717) 818-9912

Phone(843) 692-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 2, 2020

Last NPPES UpdateMay 22, 20262 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1295374692 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 · 23454

809 82ND PKWY, Myrtle Beach, SC 29572

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Other Names 1

Former Name (1)Manda Rae Beshore Fnp

Secondary Practice Location 1

Location 19600 Two Notch Rd Ste 5Columbia, SC 29223-1612 · Phone (205) 753-5699 · Fax (205) 753-5699

Accepted Insurance

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

Manda Rae Wetzel 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 ID8921439688

PECOS Enrollment IDI20200513000288

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 5

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

325 services70 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

56 services56 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

46 services46 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

43 services43 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 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 20

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

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