Kristin Marie Ansley, NURSE PRACTITIONER,

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

21563 Issued in SC

Practice address

300 W Coleman Blvd
Ste 101
Mount Pleasant, SC 29464

Phone

(843) 606-2530

NPI assigned

May 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Kristin Marie Scarborough Former name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid-South Home Care Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Myrtle Beach, SC
  • NPI 1033990544
  Medicare reassignment NPD
• HCR Manorcare Medical Services of Florida LLC

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420

  SC

  Medicare reassignment NPD
• Mid-South Home Care Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Alpharetta, GA
  • NPI 1154207769
  NPD
• Heartland Hospice Services, LLC

  • Community Based Hospice Care Agency
  • Charleston, SC
  • NPI 1013946144
  NPD (past)
• Hormone and Health USA LLC

  • Family Medicine Physician
  • Mount Pleasant, SC
  • NPI 1659912079
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1053801720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W COLEMAN BLVD",
            "address_2": "STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-606-2530",
            "fax_number": "800-564-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W COLEMAN BLVD",
            "address_2": "STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-606-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSLEY",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "21563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SCARBOROUGH",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "NURSE PRACTITIONER,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric William Angermeier, M.D.
• Anna Knapp Family Dentistry PA
• Elizabeth Annan, PHD , LPC
• Audrey Ansell, RN
• Victoria Ansell
• Heather Brooke Joye Anthony, PA-C
• Matthew Michael Antonucci, D.C., D.A.C.N.B
• Ao Spinal Care PLLC
• Apex Oral Surgery, Inc
• Apollomd Group Services LLC

• Gerontology Nurse Practitioner in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Gerontology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.