Active NPI
Kelsey Shanay Charley, APRN
- Family Nurse Practitioner
- Neeses, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24639
- Practice address
- 7061 Norway Rd
Neeses, SC 29107-9021 - Phone
- (803) 263-4086
- NPI assigned
- Sep 13, 2022
- Last updated
- Apr 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Urgent Care of South Carolina, PC | Current | 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
- 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.
-
dba Prisma Health Urgent Care
- Urgent Care Clinic/Center
- Greenville, SC
- NPI 1851000855
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.