NPIMap

Individual provider Active NPI

Gretchen Rochester Kaune, MSN, FNP-BC

  • Family Nurse Practitioner
  • Irmo, SC
National Provider Identifier
1417485574
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20988 Issued in SC
Practice address
1079 Dutch Fork Rd
Irmo, SC 29063-8725
Phone
(803) 749-8900
NPI assigned
Jun 1, 2017
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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 20988 SC Primary

Addresses

Primary practice location

1079 Dutch Fork Rd
Irmo, SC 29063-8725

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

100 Palmetto Health Pkwy Ste 104
Columbia, SC 29212-1754
Phone (803) 907-7500

Other names 1

  • Miss Gretchen Lockman Rochester Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170905002360 SC Practitioner - Nurse Practitioner 0648543132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1079 Dutch Fork Rd
Irmo, SC 29063-8725
Phone (803) 749-8900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 31, 2017 Accepting new patients
Prisma Health-Midlands CurrentSince Jul 31, 2017 Accepting new patients
Palmetto Health CurrentSince Jul 31, 2017 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 31, 2017 Accepting new patients
Palmetto Health Past Accepting new patients

Locations

100 Palmetto Health Pkwy
Ste 104
Columbia, SC 29212
Phone (803) 434-5668

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

1079 Dutch Fork Rd
Irmo, SC 29063
Phone (803) 749-8900

Interoperability endpoints

  • Direct secure messaging: gkaune381316@direct.ghs.myhfn.org

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1417485574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 DUTCH FORK RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638725",
            "telephone_number": "803-749-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Palmetto Health Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121754",
            "country_code": "US",
            "telephone_number": "803-907-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUNE",
        "first_name": "GRETCHEN",
        "middle_name": "ROCHESTER",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "ROCHESTER",
            "middle_name": "LOCKMAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.