Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Regina Dortenzo, RN-ANP

Individual provider Adult Health Nurse Practitioner · NPI 1215105085

MS. Mary Regina Dortenzo, RN-ANP is a Nurse Practitioner in West Columbia, South Carolina. Qualified in 1997, 29 years ago. Practices with Hyper Healing, a 10-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
29
Licensed in
SC
In the registry since
2008
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Practice location Address checks out

176 McSwain Dr
West Columbia, SC 29169-4825
Phone: (803) 767-4465
Fax: (803) 767-4120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4097 (SC)

Record details

NPI number1215105085
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN-ANP
Sole proprietorNo
NPI enumeratedFebruary 14, 2008
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Hyper Healing — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Columbia