Individual provider Active NPI

Kelsie Elizabeth Fowler, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1770138562
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
22936 Issued in SC
Practice address
10 Financial Blvd
Anderson, SC 29621-1770
Phone
(864) 844-9432
Fax
(864) 844-9430
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22936 SC Primary
Family Nurse Practitioner 363LF0000X 22936 SC

Addresses

Primary practice location

10 Financial Blvd
Anderson, SC 29621-1770

Mailing address

10 Financial Blvd
Anderson, SC 29621-1770
Phone (864) 844-9432

Other practice location 1

3505 Pelham Rd Ste A2
Greenville, SC 29615-4154
Phone (864) 844-9432

Other practice location 2

1721 Ebenezer Rd Ste 265A
Rock Hill, SC 29732-4103
Phone (864) 844-9432

Other practice location 3

60 Bear Dr
Greenville, SC 29605-4458
Phone (864) 844-9432

Other practice location 4

1071 Boiling Springs Rd
Spartanburg, SC 29303-2201
Phone (864) 844-9432

Other practice location 5

201 Central Park Ln
Seneca, SC 29678-1156
Phone (864) 844-9432

Other practice location 6

120 Pelham Ln
Anderson, SC 29621-3335
Phone (864) 844-9432

Other practice location 7

203 Central Park Ln
Seneca, SC 29678-1156
Phone (864) 844-9432

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
I20200722002105 SC Practitioner - Nurse Practitioner 8820412927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Taral Sharma MD PCGroup PAC ID 0244568152, 27 clinicians

Practice addresses (Care Compare)

120 Pelham LN
Anderson, SC 29621-3335
Phone (864) 844-9432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taral Sharma MD PC CurrentSince Apr 16, 2021 Accepting new patients
South Carolina Neurology Associates LLC CurrentSince Mar 1, 2024 Accepting new patients
Carolina Neurology LLC PastSince Feb 4, 2024 Accepting new patients

Locations

120 Pelham Ln
Anderson, SC 29621
Phone (864) 627-5337

10 Financial Blvd
Anderson, SC 29621
Phone (855) 663-7772

201 Central Park Ln
Ste B
Seneca, SC 29678
Phone (864) 577-9107

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1770138562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FINANCIAL BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211770",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FINANCIAL BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211770",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 Pelham Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154154",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1721 Ebenezer Rd Ste 265A",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297324103",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Bear Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054458",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1071 Boiling Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293032201",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Central Park Ln",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781156",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Pelham Ln",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296213335",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Central Park Ln",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781156",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KELSIE",
        "middle_name": "ELIZABETH",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "22936",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.