Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marta Pacheco

Individual provider Acute Care Nurse Practitioner · NPI 1053076554

Marta Pacheco is a Nurse Practitioner in Rock Hill, South Carolina. Qualified in 2021, 5 years ago. Practices with Friendship Physician Clinic Inc, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
5
Licensed in
NC, VA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1617 Shetland Ln
Rock Hill, SC 29730-4998
Phone: (540) 797-4361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024189006 (VA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 2000319019 (NC)

Record details

NPI number1053076554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 1, 2021
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Friendship Physician Clinic Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rock Hill