Individual ProviderMichela HopperNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address325 Broad St, Sumter, SC 29150-4167(803) 773-5227PECOS EnrollmentBased on the most recent information from CMS, provider Michela Hopper is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1619863537Provider TypeIndividualFull NameHopper, MichelaTitleDr.CredentialDNPGenderFemaleSole ProprietorNoEnumeration Date6/16/2025Last Updated7/20/2025Contact InformationPractice LocationPractice Address325 Broad St, Sumter, SC 29150-4167Phone(803) 773-5227FaxUnlisted FaxMailing LocationMailing Address2604 Eutaw Rd, Holly Hill, SC 29059-2729PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense30656South CarolinaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense259725South Carolina