LIZA RACHEL BOAZ MSN, CNM
NPI 1689100968
Advanced Practice Midwife in Summerville, SC

Q: What is Liza Boaz's NPI number?

The NPI number for Liza Boaz is 1689100968. It was assigned to this individual provider in the NPPES registry on May 5, 2017. The provider is also known as Lisa Rachel Bergrin Cnm.

Q: What is Liza Boaz's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Liza Boaz was last updated on August 24, 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 May 05, 2017PECOS Enrolled

406 BRIGHTON PARK BLVD STE 101, SUMMERVILLE, SC 29486(854) 287-3560(854) 287-3561 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2026, Apr 16, 2024, May 22, 2019 (3 updates tracked since 2019).

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About Liza Rachel Boaz Msn, Cnm NPPES

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

LIZA RACHEL BOAZ MSN, CNM (NPI 1689100968) is an individual advanced practice midwife in Summerville, South Carolina, licensed in South Carolina (22392) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1689100968

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameLIZA RACHEL BOAZCredential: MSN, CNM

Location Address406 BRIGHTON PARK BLVD STE 101Summerville, SC 29486-3056

Mailing Address2048 Charlie Hall BlvdCharleston, SC 29414-5830 · (843) 804-6010 · Fax (843) 804-6011

Phone(854) 287-3560

Fax(854) 287-3561

Sole ProprietorNo

Enumeration DateMay 5, 2017

Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1689100968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in SC · 22392

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedMidwifeTaxonomy 176B00000X

406 BRIGHTON PARK BLVD STE 101, Summerville, SC 29486

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Other Names 1

Former Name (1)Lisa Rachel Bergrin Cnm

Secondary Practice Location 1

Location 12048 Charlie Hall BlvdCharleston, SC 29414-5830 · Phone (843) 792-1414

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liza Rachel Boaz Msn, Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Liza Boaz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Cooper Physician Group LLC

Same address

Obstetrics & Gynecology

406 BRIGHTON PARK BLVD STE 101
Summerville, SC 29486

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

NPI 1528920253 (843) 834-1879

Epicentre, LLC

17 mi

Obstetrics & Gynecology

2048 CHARLIE HALL BLVD
Charleston, SC 29414

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

NPI 1194363580 (843) 804-6010

University Medical Associates

17 mi

Multi-Specialty

2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
2,594 clinicians in this Medicare group

NPI 1760413835 (843) 792-1414

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29486 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

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

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.

AMANDA W PEEBLES FNP-C

Nurse Practitioner (Women's Health)

406 BRIGHTON PARK BLVD STE 101
SUMMERVILLE, SC 29486

Berkeley County (854) 287-3560

EAST COOPER PHYSICIAN GROUP LLC

Obstetrics & Gynecology

406 BRIGHTON PARK BLVD STE 101
SUMMERVILLE, SC 29486

Berkeley County (843) 834-1879

DR. ASHLEY ELIZABETH LALL MD

Obstetrics & Gynecology

406 BRIGHTON PARK BLVD STE 101
SUMMERVILLE, SC 29486

Berkeley County (854) 287-3560

EAST COOPER PHYSICIAN GROUP LLC

Family Medicine

406 BRIGHTON PARK BLVD STE 101
SUMMERVILLE, SC 29486

Berkeley County (854) 287-3565

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 Liza Boaz's NPI number?

The NPI number for Liza Boaz is 1689100968. It was assigned to this individual provider in the NPPES registry on May 5, 2017. The provider is also known as Lisa Rachel Bergrin Cnm.

Where is Liza Boaz located?

Liza Boaz practices at 406 Brighton Park Blvd Ste 101, Summerville, SC 29486. The listed phone number is (854) 287-3560.

What is Liza Boaz's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Liza Boaz enrolled in Medicare?

Yes. Liza Boaz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Liza Boaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liza Boaz reassigns Medicare benefits to 3 organizations: East Cooper Physician Group LLC (Summerville, SC), Epicentre, LLC (Charleston, SC) and University Medical Associates (Charleston, 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 Liza Boaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Liza Boaz accept?

Health plans from Molina Healthcare list Liza Boaz 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.

When was this NPI record last updated?

The NPPES record for Liza Boaz was last updated on August 24, 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.