Kimberly Ellison, APRN, FNP-BC - Medicare Nurse Practitioner in Anderson, SC

Kimberly Ellison, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Anderson, South Carolina. Her current practice location is 131 Broadbent Way, Anderson, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 222-9798.

Kimberly Ellison is licensed to practice in South Carolina (license number 26342) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871228866.

Contact Information

Kimberly Ellison, APRN, FNP-BC
131 Broadbent Way,
Anderson, SC 29625-1521
(864) 222-9798
Not Available



Provider's Profile

Full NameKimberly Ellison
GenderFemale
SpecialityNurse Practitioner - Family
Location131 Broadbent Way, Anderson, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871228866
  • Provider Enumeration Date: 07/22/2022
  • Last Update Date: 11/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244605038
  • Enrollment ID: I20230410000733

Medical Identifiers

Medical identifiers for Kimberly Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871228866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26342 (South Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Ellison allows following entities to bill medicare on her behalf.
Entity NameSc Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962161646
PECOS PAC ID: 4385022235
Enrollment ID: O20220604000384

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Entity NamePelzer Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619656352
PECOS PAC ID: 3779945571
Enrollment ID: O20230810002426

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Ellison is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Ellison, APRN, FNP-BC
1012 Hillcrest Ct,
Anderson, SC 29621-3689

Ph: (586) 663-0109
Kimberly Ellison, APRN, FNP-BC
131 Broadbent Way,
Anderson, SC 29625-1521

Ph: (864) 222-9798

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Nurse Practitioner Nurses in Anderson, SC

Ning Sun, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4144 Clemson Blvd, Anderson, SC 29621
Phone: 864-224-9598    
Elizabeth Anne Stuart Whitman, FNP-BC, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 N Fant St, Anderson, SC 29621
Phone: 864-512-2000    
Jennifer P Arnett, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2000 E Greenville St, Anderson, SC 29621
Phone: 864-512-1000    
Lacey Wilbanks,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 108 Montgomery Dr, Anderson, SC 29621
Phone: 864-225-5597    
Sarah Browne Long, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2000 E Greenville St, Ste 3850, Anderson, SC 29621
Phone: 864-225-5667    Fax: 864-716-6158
Cynthia Marie Petermann, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2001 E Greenville St, Anderson, SC 29621
Phone: 864-332-3098    Fax: 855-232-3959
Mrs. Jennifer Lingerfelt, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4120 Highway 24, Anderson, SC 29626
Phone: 864-224-4003    

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