Ileen Rolinda Aiken
Individual provider Active NPI Nurse Practitioner · Greenville, SC
NPI 1861989147 · NPPES record last updated Jun 1, 2018
Key facts
- NPI
- 1861989147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 21369 (SC)
- Practice address
- 701 Grove Rd FL 5
Greenville, SC 29605 - Phone
- (864) 455-4411
- NPI assigned
- Apr 22, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 39
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
200 Fleetwood Dr
Easley, SC 29640-2022
Phone (864) 442-7618
210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123
22725 Hwy 76 E
Clinton, SC 29325-7527
Phone (864) 833-4545
22725 US Hwy 76
Suite 3C
Clinton, SC 29325-7527
Phone (864) 833-3852
298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 455-2455
701 Grove Rd
Greenville, SC 29605-4210
807 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9261
815 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9261
817 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9790
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180710003262 | SC | Practitioner - Nurse Practitioner | 2961758602 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
701 Grove Rd
Fl 5
Greenville, SC 29605
Phone (864) 455-4411
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
Interoperability endpoints
- iaiken229280@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21369 | SC | Yes |
Addresses
Primary practice location
701 Grove Rd FL 5
Greenville, SC 29605
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6308
Other providers in Greenville, SC
- Fuad R Ahmad
- Ardalan Ahmadi
- Aid Upstate
- Anna Kaitlin Aiken
- C. Barton Aiken III
- Shenequa Carter Aiken
- Hanna Nicole Airhart
- Desiree Renee Aitch
- Paul Aitchison
- Aja'Z Essentialz LLC
All providers in Greenville, SC · Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.