Melissa Blair Kimbrell, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19733 Issued in SC

Practice address

575 Ingles Dr
Inman, SC 29349-8314

Phone

(864) 342-4090

Fax

(864) 578-7098

NPI assigned

Sep 14, 2015

Last updated

Feb 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
• Pelham Medical Center Hospital, Greer, SC, CCN 420103

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cherokee Medical Center

  dba CMC-Immediate Care Center-Gaffney

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1285275305
  Medicare reassignment NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Spineand Pain Management - NorthGrove

  • Neuromusculoskeletal Medicine & OMM Physician
  • Spartanburg, SC
  • NPI 1043309917
  Medicare reassignment NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Family Medicine - Boiling Springs

  • Family Medicine Physician
  • Boiling Springs, SC
  • NPI 1235170077
  Medicare reassignment NPD
• Cherokee Medical Center

  dba CMC-Center for Pediatrics

  • Rural Health Clinic/Center
  • Gaffney, SC
  • NPI 1265073381
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Immediate Care Center - Eastside

  • Urgent Care Clinic/Center
  • Spartanburg, SC
  • NPI 1083953491
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas-Pediatrics- Boiling Springs

  • Pediatrics Physician
  • Inman, SC
  • NPI 1265901359
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas Pain Management Wood Street

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1942188875
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Piedmont Women's Healthcare

  • Obstetrics & Gynecology Physician
  • Spartanburg, SC
  • NPI 1376580852
  NPD (past)

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

• Pelham Medical Center

  dba PMC Center for Urology Pelham

  • Pain Medicine Physician
  • Greer, SC
  • NPI 1942960844

  Hospital

  Care Compare affiliation
• Pelham Medical Center

  • General Acute Care Hospital
  • Greer, SC
  • NPI 1982800397
  Care Compare affiliation
• Spartanburg Medical Center

  dba Spartanburg Medical Center- Psychiatric Unit

  • Psychiatric Hospital Unit
  • Spartanburg, SC
  • NPI 1033681630
  Care Compare affiliation
• Spartanburg Medical Center

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1326373697

  Hospital

  Care Compare affiliation
• Spartanburg Medical Center

  • General Acute Care Hospital
  • Spartanburg, SC
  • NPI 1609807122
  Care Compare affiliation
• Spartanburg Medical Center

  dba Spartanburg Medical Center-Center for Rehabilitative Medicine

  • Rehabilitation Hospital Unit
  • Spartanburg, SC
  • NPI 1942772546
  Care Compare affiliation

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1790153203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 INGLES DR",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293498314",
            "telephone_number": "864-342-4090",
            "fax_number": "864-578-7098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Stuard St",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293411263",
            "country_code": "US",
            "telephone_number": "864-488-9500",
            "fax_number": "864-489-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBRELL",
        "first_name": "MELISSA",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC70476067",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC7047J577",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC70476084",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3586",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dylan Kipp, PT, DPT
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• Lake Bowen Dental
• Lake Bowen Dental Studio, LLC
• Brindel Ogston Lancaster, PHARMD

• Family Nurse Practitioner in Inman, SC
• Providers in Inman, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.

Verify at the official NPI Registry.