Kelly K Niermeier, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

21241 Issued in SC

Practice address

3240 Sunset Blvd
West Columbia, SC 29169-3428

Phone

(803) 359-8855

Fax

(803) 794-6480

NPI assigned

Mar 30, 2016

Last updated

Jul 27, 2026By 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 2

Addresses

Other identifiers 2

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kniermeier75508@direct.lexmed.com

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.

• Eau Claire Cooperative Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1346249430
  Medicare reassignment NPD
• Lexington Health Inc

  dba Lexington Orthopaedic and Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Columbia, SC
  • NPI 1710634753
  Medicare reassignment NPD
• Eau Claire Cooperative Health Center ,Inc.

  dba Cooperative Health @ CAMH

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1588375653
  NPD
• Lexington County Health Services District Inc

  dba Lexington Medical Center

  • General Acute Care Hospital
  • West Columbia, SC
  • NPI 1356366314
  NPD
• Lexington Health Inc

  dba Lexington Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Lexington, SC
  • NPI 1619574969
  NPD
• Lexington Health Inc

  dba Lexington Internal Medicine

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1942190988
  NPD
• Lexington County Health Services District, Inc.

  dba Lexington Medical Center Irmo

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1396778056
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1861855645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3788",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292303788",
            "telephone_number": "803-733-5969",
            "fax_number": "803-753-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693428",
            "telephone_number": "803-359-8855",
            "fax_number": "803-794-6480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13135 Lee Jackson Memorial Hwy",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331907",
            "country_code": "US",
            "telephone_number": "703-391-0900",
            "fax_number": "703-391-2919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4080 Augusta Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "SC",
            "postal_code": "290548893",
            "country_code": "US",
            "telephone_number": "803-892-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4080 Augusta Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "SC",
            "postal_code": "290548893",
            "country_code": "US",
            "telephone_number": "803-892-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Thompson St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722543",
            "country_code": "US",
            "telephone_number": "803-359-8855",
            "fax_number": "803-359-1257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N 12th St",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291696502",
            "country_code": "US",
            "telephone_number": "803-217-0415",
            "fax_number": "803-939-1650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIERMEIER",
        "first_name": "KELLY",
        "middle_name": "K",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024173395",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "21241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4742",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21241",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kniermeier75508@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3240 Sunset Blvd",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291693428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• NH Med Services, LLC
• NHC Healthcare-Lexington LLC (NHC HealthCare, Lexington)
• NHC Homecare-South Carolina LLC (NHC HomeCare-Midlands)
• Jessica Nicholson, LPC
• Amy A Nienhuis, LISW-CP, MSW
• Nitin Nigam, MD
• Elizabeth Bo Yung Nimmich, M.D.
• Matthew Charles Nimmich, D.M.D.
• Mitchell Lance Nimmich, MD
• Antoinette Shanae Nipper, LISW-CP

• Pediatric Nurse Practitioner in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.