Karen E Preston, CRNP
Individual provider Active NPI Family Nurse Practitioner · Indian Land, SC
NPI 1962720342 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1962720342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5006697 (NC)
- Practice address
- 1040 Edgewater Corp Pkwy
Suite 106
Indian Land, SC 29707-4514 - Phone
- (704) 541-9117
- Fax
- (704) 541-9137
- NPI assigned
- May 11, 2010
- Reactivated
- May 16, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Oct 6, 2025 through Oct 6, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19393 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buckingham Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5006697 | NC | Yes |
| Family Nurse Practitioner | 363LF0000X | 19393 | SC |
Addresses
Primary practice location
1040 Edgewater Corp Pkwy
Suite 106
Indian Land, SC 29707-4514
Mailing address
332 Catalina Dr
Mooresville, NC 28117-8566
Phone (704) 696-8220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19393 | Other | SC | SCBON |
| SP010827 | Other | PA | LICENSE |
| 185620JZW | Other | PA | MEDICARE NUMBER |
| 5006697 | Other | NC | NCBON |
Other providers in Indian Land, SC
- Playxcience LLC
- Diane Christine Poehlman
- Precision Vision
- Premier Home Healthcare of SC LLC
- Premier Surgery Center of the Carolinas, LLC
- Albert Anthony Primavera Jr.
- Publix Super Markets Inc
- Olivia Kathryn Pyles
- QC Investments, LLC
- Quantum Medical Group LLC
All providers in Indian Land, SC · Family 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 May 16, 2025. 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).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.