ANDRIA MCCORMACK NP
NPI 1992219117
Nurse Practitioner - Family in Charleston, SC

Q: What is Andria Mccormack's NPI number?

The NPI number for Andria Mccormack is 1992219117. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Q: What is Andria Mccormack'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 Andria Mccormack was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 27, 2017PECOS Enrolled

109 BEE ST, CHARLESTON, SC 29401(843) 577-5011 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2018, Nov 27, 2017 (2 updates tracked since 2017).

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About Andria Mccormack Np NPPES

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

ANDRIA MCCORMACK NP (NPI 1992219117) is an individual family provider in Charleston, South Carolina, licensed in South Carolina (21407) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992219117

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDRIA MCCORMACKCredential: NP

Location Address109 BEE STCharleston, SC 29401-5703

Mailing Address109 Bee StCharleston, SC 29401-5703

Phone(843) 577-5011

Sole ProprietorNo

Enumeration DateNovember 27, 2017

Last NPPES UpdateMarch 2, 20182 updates tracked since enumeration

✔ NPI 1992219117 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 · 21407

109 BEE ST, Charleston, SC 29401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andria Mccormack Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29401 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.

MRS. PAMELA STAKER MSN, FNP-BC

Nurse Practitioner (Family)