Individual provider Active NPI

Kirsten L. Van Demark, APRN, NP-C

  • Primary Care Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1508507161
Registry record updated Apr 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
25855 Issued in SC
Practice address
McLeod Cardiology Associates Myrtle Beach
Myrtle Beach, SC 29579
Phone
(843) 646-8117
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 25855 SC Primary

Addresses

Primary practice location

McLeod Cardiology Associates Myrtle Beach
Myrtle Beach, SC 29579

Mailing address

4301 Dick Pond Rd
Myrtle Beach, SC 29588-6807
Phone (843) 652-8100

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
I20220922000210 SC Practitioner - Nurse Practitioner 6507241825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

107 McLeod Health Blvd
Myrtle Beach, SC 29579-4477

3781 McDowell Lane
Suite 200
Little River, SC 29566-7833
Phone (843) 366-3891

4000 Hwy 9 E
Suite 250
Little River, SC 29566-7833
Phone (843) 366-3891

4301 Dick Pond Rd
Myrtle Beach, SC 29588-6807
Phone (843) 652-8100

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25855SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC CurrentSince Jul 5, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 1, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 1, 2024 Accepting new patients
Georgetown Physician Associates LLC CurrentSince Jul 5, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Past Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

3793 McDowell Ln
Ste 200
Little River, SC 29566
Phone (843) 390-0877

3485 Mitchell St
Loris, SC 29569
Phone (843) 390-0877

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

107 McLeod Health Blvd
Bldg 3
Myrtle Beach, SC 29579
Phone (843) 366-3920

4301 Dick Pond Rd
Myrtle Beach, SC 29588
Phone (843) 652-8100

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Interoperability endpoints

  • Direct secure messaging: kvandenmark448688@direct.musc.edu

Organizations & group practices 9

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 2

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744502400000",
    "number": "1508507161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 DICK POND RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886807",
            "telephone_number": "843-652-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCLEOD CARDIOLOGY ASSOCIATES MYRTLE BEACH",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-646-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEMARK",
        "first_name": "KIRSTEN",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-04-13",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "25855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.