Kimberly Elliott Sadri, RN - Medicare Nurse Practitioner in Greenville, SC

Kimberly Elliott Sadri, RN is a medicare enrolled "Nurse Practitioner" in Greenville, South Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cannon Memorial Hospital, Prisma Health University Medical Group and her current practice location is 1005 Grove Rd, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 455-6900.

Kimberly Elliott Sadri is licensed to practice in South Carolina (license number 21426) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750893277.

Contact Information

Kimberly Elliott Sadri, RN
1005 Grove Rd,
Greenville, SC 29605-4630
(864) 455-6900
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Elliott Sadri
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1005 Grove Rd, Greenville, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Elliott Sadri graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1750893277
  • Provider Enumeration Date: 10/25/2017
  • Last Update Date: 05/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618235292
  • Enrollment ID: I20180103003280

Medical Identifiers

Medical identifiers for Kimberly Elliott Sadri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750893277NPI-NPPES
NP4820MedicaidSC
SCB7745019OtherSCMEDICARE PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 103182 (South Carolina)Secondary
363L00000XNurse Practitioner 21426 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Greenville Memorial HospitalGreenville, SCHospital
Prisma Health Greer Memorial HospitalGreer, SCHospital
Cannon Memorial HospitalPickens, SCHospital
Prisma Health Hillcrest HospitalSimpsonville, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cannon Memorial Hospital812393066623
Prisma Health University Medical Group83259509832206

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. Kimberly Elliott Sadri allows following entities to bill medicare on her behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238
Entity NameCannon Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497744254
PECOS PAC ID: 8123930666
Enrollment ID: O20040115000729

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. Kimberly Elliott Sadri 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
Kimberly Elliott Sadri, RN
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8603
Kimberly Elliott Sadri, RN
1005 Grove Rd,
Greenville, SC 29605-4630

Ph: (864) 455-6900

Reviews and Comments


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Rebecca Dawn Leicht, FNP-C
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Medicare: Accepting Medicare Assignments
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Phone: 864-522-5000    Fax: 864-241-9275

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.