Kelly K Niermeier, CPNP | |
3240 Sunset Blvd, West Columbia, SC 29169-3428 | |
(803) 359-8855 | |
(803) 794-6480 |
Full Name | Kelly K Niermeier |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 3240 Sunset Blvd, West Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861855645 | NPI | - | NPPES |
NP4742 | Medicaid | SC | |
21241 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 0024173395 (Virginia) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 21241 (South Carolina) | Primary |
Entity Name | Eau Claire Cooperative Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
Mailing Address | Practice Location Address |
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Kelly K Niermeier, CPNP Po Box 3788, Columbia, SC 29230-3788 Ph: (803) 733-5969 | Kelly K Niermeier, CPNP 3240 Sunset Blvd, West Columbia, SC 29169-3428 Ph: (803) 359-8855 |
Ashley Nix, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1612 Airport Blvd, West Columbia, SC 29169 Phone: 803-380-6399 Fax: 877-484-7187 | |
June Taylor Clark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 Phone: 800-491-0909 | |
Sommer Lane Kitchin, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1053 Center St, West Columbia, SC 29169 Phone: 800-491-0909 | |
Tisheila Diane Whitted, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Teresa Biediger Bowers, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2728 Sunset Blvd, Suite 402, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751 | |
Heather Shaw, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169 Phone: 803-699-9073 Fax: 866-527-0937 | |
Amy S Shenkar, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 |