NPIMap

Individual provider Active NPI

Kimberly Owens

  • Nurse Practitioner
  • Florence, SC
National Provider Identifier
1679926935
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19975 Issued in SC
Practice address
1594 Freedom Blvd
Florence, SC 29505-6046
Phone
(843) 664-9696
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19975 SC Primary

Addresses

Primary practice location

1594 Freedom Blvd
Florence, SC 29505-6046

Mailing address

1594 Freedom Blvd
Florence, SC 29505-6046

Other identifiers 1

IdentifierTypeStateIssuer
19975OtherSCSC MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kowens253310@direct.musc.edu Direct

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
I20161108002561 SC Practitioner - Nurse Practitioner 9234418518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lower Florence County HosptialGroup PAC ID 6608802152, 4 clinicians
Medical University Hospital AuthorityGroup PAC ID 1557268950, 218 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

258 N Ron McNair Blvd
Lake City, SC 29560-2462

276 N Ron McNair Blvd
Lake City, SC 29560-2462
Phone (843) 394-5471

500 Thurgood Marshall Hwy
Suite F
Kingstree, SC 29556-4143
Phone (843) 355-1772

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

953 S Pamplico Hwy
Pamplico, SC 29583-4058
Phone (843) 493-5252

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Kingstree, SC, CCN 427068
  • Musc Health at Home by Bayada-Conway Home health agency, Conway, SC, CCN 427135
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • CCN 420117 Hospital, CCN 420117
  • Musc Health Marion Medical Center Hospital, Mullins, SC, CCN 420055
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Medical University Hospital Authority CurrentSince May 30, 2023 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Medical University Hospital Authority Current Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Medical University Hospital Authority CurrentSince May 30, 2023 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1925 Hoffmeyer Rd
Florence, SC 29501
Phone (843) 661-4390

1594 Freedom Blvd
Florence, SC 29505
Phone (843) 664-9696

1594 Freedom Blvd
Ste 202
Florence, SC 29505
Phone (843) 644-9696

805 Pamplico Hwy
Ste 300
Florence, SC 29505
Phone (843) 679-2760

500 Thurgood Marshall Hwy
Ste F
Kingstree, SC 29556
Phone (843) 355-1774

201 W Meeting St
Lancaster, SC 29720
Phone (803) 286-4446

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

953 S Pamplico Hwy
Pamplico, SC 29583
Phone (843) 493-5252

Interoperability endpoints

  • Direct secure messaging: kowens253310@direct.musc.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1679926935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 FREEDOM BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 FREEDOM BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056046",
            "telephone_number": "843-664-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "19975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE",
            "identifier": "19975",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kowens253310@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1594 Freedom Blvd",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295056046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.