MRS. TENIKQUA FULLWOOD-MAPLE PMHNP-BC
NPI 1932059888
Nurse Practitioner in Sumter, SC

Q: What is Tenikqua Fullwood-maple's NPI number?

The NPI number for Tenikqua Fullwood-maple is 1932059888. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Q: What is Tenikqua Fullwood-maple's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 30, 2026PECOS EnrolledAccepts Medicare Assignment

1278 N LAFAYETTE DR, SUMTER, SC 29150(803) 774-4500 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Tenikqua Fullwood-maple Pmhnp-bc NPPES

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

MRS. TENIKQUA FULLWOOD-MAPLE PMHNP-BC (NPI 1932059888) is an individual nurse practitioner in Sumter, South Carolina, licensed in South Carolina (31415) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1932059888

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. TENIKQUA FULLWOOD-MAPLECredential: PMHNP-BC

Location Address1278 N LAFAYETTE DRSumter, SC 29150-2964

Mailing Address2733 Sandhill DrSumter, SC 29154-5316 · (803) 774-4500

Phone(803) 774-4500

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 30, 2026

NPPES CertifiedJanuary 30, 2026

✔ NPI 1932059888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · 31415

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1278 N LAFAYETTE DR, Sumter, SC 29150

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Accepted Insurance

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

Mrs. Tenikqua Fullwood-maple Pmhnp-bc 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 ID5496238313

PECOS Enrollment IDI20260310001533

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 Tenikqua Fullwood-maple reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tandem Health Sc

1.4 mi

Federally Qualified Health Center (FQHC)

319 N MAIN ST
Sumter, SC 29150

Reassigned Medicare billing, South Carolina enrollment
Also billed through NPI 1649035841 (South Carolina)
45 clinicians in this Medicare group

NPI 1356772776 (803) 774-4500

Barnabas Behavioral Healthcare, LLC

46 mi

Professional

409 EVELYN DR
Columbia, SC 29210

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

NPI 1528281946 (803) 216-0850

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 29150 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.

MS. LUCIE M. MOISE LPC

Counselor (Professional)