Kelly Ardis, AGPCNP-BC - Medicare Nurse Practitioner in Greenwood, SC

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Kelly Ardis, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Greenwood, South Carolina. Her current practice location is 216 Andrews Ave, Greenwood, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 992-2875.

Kelly Ardis is licensed to practice in South Carolina (license number 20183) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417304734.

Contact Information

Kelly Ardis, AGPCNP-BC
216 Andrews Ave,
Greenwood, SC 29646-2107
(864) 992-2875
Not Available

Map and Direction




Provider's Profile

Full NameKelly Ardis
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location216 Andrews Ave, Greenwood, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417304734
  • Provider Enumeration Date: 05/17/2016
  • Last Update Date: 05/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8921396540
  • Enrollment ID: I20161014001407

Medical Identifiers

Medical identifiers for Kelly Ardis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417304734NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 20183 (South Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Ardis allows following entities to bill medicare on her behalf.
Entity NameVitality Medical Centers Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982999249
PECOS PAC ID: 5890964340
Enrollment ID: O20110818000025
Entity NameVitality Medical Centers Of Charleston, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750820510
PECOS PAC ID: 2668759861
Enrollment ID: O20170425002199
Entity NameHomestead Palliative Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750705190
PECOS PAC ID: 3779708649
Enrollment ID: O20170705001065
Entity NameHealthfair Plus Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20230922002631

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ardis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Ardis, AGPCNP-BC
216 Andrews Ave,
Greenwood, SC 29646-2107

Ph: (864) 992-2875		Kelly Ardis, AGPCNP-BC
216 Andrews Ave,
Greenwood, SC 29646-2107

Ph: (864) 992-2875

Reviews and Comments


Nurse Practitioner Nurses in Greenwood, SC

Cathleen J Nixon, FNP
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Phone: 864-227-5020    
Dr. Leslie Mactaggart Myers, DNP, APRN, ANP-BC
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Practice Location: 104 Maxwell Ave Ste 235, Greenwood, SC 29646
Phone: 864-990-5074    Fax: 833-405-1939
Whitney D Lyerly Wilson, DNP
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Caitlin Jennings, PMHNP-BC, MSN
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Practice Location: 1547 Parkway, Greenwood, SC 29646
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Natalie Nicole Sheppard, NP
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Mrs. Theresa Calderon, DNP APRN FNP-C
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Practice Location: 115 Overland Dr, Greenwood, SC 29646
Phone: 864-227-6641    Fax: 864-227-3953
Rachel L Case, NP
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Practice Location: 421 Epting Ave, Greenwood, SC 29646
Phone: 864-227-6818    Fax: 864-227-0850

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.