Active NPI
Kelli Wilkinson
- Adult Health Nurse Practitioner
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 30012
- Practice address
- 200 Patewood Dr Ste B260
Greenville, SC 29615-6328 - Phone
- (864) 454-2852
- Fax
- (864) 454-2899
- NPI assigned
- Jul 1, 2021
- Last updated
- Apr 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.0029188 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.0029188 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | 30012 | SC | Primary |
Addresses
Primary practice location
200 Patewood Dr Ste B260
Greenville, SC 29615-6328
Mailing address
300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8611
Other practice location 1
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Omni Dr
Suite a
Seneca, SC 29672-9448
Phone (864) 885-7520
102 B Omni Dr
Seneca, SC 29672-9448
Phone (864) 885-7971
103 Omni Dr
Suite B
Seneca, SC 29672-9448
Phone (864) 886-9250
105 B Omni Dr
Seneca, SC 29672-9448
Phone (864) 482-3157
107 Omni Dr
Suite a
Seneca, SC 29672-9448
Phone (864) 885-7475
109 Omni Dr
Suite B
Seneca, SC 29672-9448
Phone (864) 888-4222
200 Patewood Dr
Suite C300
Greenville, SC 29615-6324
Phone (864) 454-8272
210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30012 | SC | MD | Internal Medicine Physician |
| APRN.CNP.0029188 | OH | MD | 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 | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Nurse Practitioner | Current | Accepting new patients |
| Pulmonary Rehabilitation Associates | Current | Accepting new patients |
Locations
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
925 Trailwood Dr
Youngstown, OH 44512
Phone (330) 758-7575
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
200 Patewood Dr
Ste B260
Greenville, SC 29615
Phone (864) 454-2100
200 Patewood Dr
Ste C300
Greenville, SC 29615
Phone (864) 454-2852
300 E McBee Ave
Ste 300
Greenville, SC 29601
103 Omni Dr
#B
Seneca, SC 29672
Phone (864) 482-3285
Interoperability endpoints
- kwilkinson843761@direct.ghs.myhfn.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
Nurse Practitioner
-
- Pulmonary Disease Physician
- Youngstown, OH
- NPI 1720205065
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prisma Health Vascular Health Alliance
- General Acute Care Hospital
- Greenville, SC
- NPI 1033664909
-
dba Prisma Health Oconee Memorial Hospital
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
-
dba Prisma Health Patewood Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1124574223
-
dba Prisma Health OP Surgery Patewood
- General Acute Care Hospital
- Greenville, SC
- NPI 1144775032
-
dba PH Adult Congenital Cardiology Center
- General Acute Care Hospital
- Greenville, SC
- NPI 1144914607
-
dba Prisma Health Center For Family Medicine-Oconee
- Clinic/Center
- Seneca, SC
- NPI 1407345846
Hospital
-
dba Prisma Health Outpatient Endoscopy Patewood
- General Acute Care Hospital
- Greenville, SC
- NPI 1730804246
-
dba Prisma Health Oconee Pain Management
- Pain Clinic/Center
- Seneca, SC
- NPI 1891237632
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1891366787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012899",
"telephone_number": "864-522-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR STE B260",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156328",
"telephone_number": "864-454-2852",
"fax_number": "864-454-2899"
}
],
"practiceLocations": [
{
"address_1": "1044 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445041006",
"country_code": "US",
"telephone_number": "330-480-2040",
"fax_number": "330-480-2071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKINSON",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0029188",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.0029188",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "30012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.