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

Stacey Ann Swinehart, CRNP-FAMILY

Individual provider Critical Care Medicine Registered Nurse · NPI 1750961017

Stacey Ann Swinehart, CRNP-FAMILY is a Nurse Practitioner in Myrtle Beach, South Carolina. Graduated from Rush Medical College of Rush University in 2021, 5 years ago. Practices with Waccamaw Dermatology LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Illinois, Maryland, New York and South Carolina.

Years since qualifying
5
Trained at
Rush Medical College of Rush University
Licensed in
IL, MD, NY, SC
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

5046 Highway 17 Byp S Ste 200
Myrtle Beach, SC 29588-4503
Phone: (843) 449-0453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 29449 (SC)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 041.437483 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R253460 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 351801 (NY)

Record details

NPI number1750961017
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-FAMILY
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJuly 14, 2025
Certification dateJune 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2021 (5 years in practice)
Group practice Waccamaw Dermatology Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Myrtle Beach