Individual provider Active NPI

Kelsey Shanay Charley, APRN

  • Family Nurse Practitioner
  • Neeses, SC
National Provider Identifier
1396467718
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24639 Issued in SC
Practice address
7061 Norway Rd
Neeses, SC 29107-9021
Phone
(803) 263-4086
NPI assigned
Sep 13, 2022
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24639 SC Primary

Addresses

Primary practice location

7061 Norway Rd
Neeses, SC 29107-9021

Mailing address

7061 Norway Rd
Neeses, SC 29107-9021
Phone (803) 813-1325

Other practice location 1

3310 Magnolia St
Orangeburg, SC 29115-1466
Phone (803) 531-6900

Other practice location 2

944 Harden St
Columbia, SC 29205-1082
Phone (864) 686-7955

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221031000564 SC Practitioner - Nurse Practitioner 6204203540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

944 Harden St
Columbia, SC 29205-1082
Phone (864) 686-7955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Apr 10, 2024 Accepting new patients

Locations

944 Harden St
Columbia, SC 29205
Phone (864) 686-7955

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

Interoperability endpoints

  • Direct secure messaging: kcharley759542@direct.ghs.myhfn.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1396467718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 NORWAY RD",
            "city": "NEESES",
            "state": "SC",
            "postal_code": "291079021",
            "telephone_number": "803-813-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7061 NORWAY RD",
            "city": "NEESES",
            "state": "SC",
            "postal_code": "291079021",
            "telephone_number": "803-263-4086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291151466",
            "country_code": "US",
            "telephone_number": "803-531-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "944 Harden St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292051082",
            "country_code": "US",
            "telephone_number": "864-686-7955",
            "fax_number": "864-686-7986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLEY",
        "first_name": "KELSEY",
        "middle_name": "SHANAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neeses, SC

Sources for this page

Verify at the official NPI Registry.