KISHIMJAN BEISHENALIEVNA KETNER NP
NPI 1033651526
Nurse Practitioner - Adult Health in Inman, SC

Q: What is Kishimjan Ketner's NPI number?

The NPI number for Kishimjan Ketner is 1033651526. It was assigned to this individual provider in the NPPES registry on November 15, 2016.

Q: What is Kishimjan Ketner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kishimjan Ketner was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 15, 2016PECOS Enrolled

150 HOLLY SPRINGS CHURCH RD, INMAN, SC 29349(864) 921-4479(864) 734-4887 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2023, Jan 17, 2023, Nov 15, 2016 (3 updates tracked since 2016).

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About Kishimjan Beishenalievna Ketner Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KISHIMJAN BEISHENALIEVNA KETNER NP (NPI 1033651526) is an individual adult health provider in Inman, South Carolina, licensed in South Carolina (20442) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033651526

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKISHIMJAN BEISHENALIEVNA KETNERCredential: NP

Location Address150 HOLLY SPRINGS CHURCH RDInman, SC 29349-7983

Mailing Address150 Holly Springs Church RdInman, SC 29349-7983 · (864) 921-4479 · Fax (864) 734-4887

Phone(864) 921-4479

Fax(864) 734-4887

Sole ProprietorNo

Enumeration DateNovember 15, 2016

Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration

NPPES CertifiedOctober 10, 2023

✔ NPI 1033651526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in SC · 20442

Also ListedNurse PractitionerTaxonomy 363L00000X · License 20442 (SC)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 20442 (SC)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 20442 (SC)

150 HOLLY SPRINGS CHURCH RD, Inman, SC 29349

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kishimjan Beishenalievna Ketner Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29349 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier14 claims14 services$14.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kishimjan Ketner's NPI number?

The NPI number for Kishimjan Ketner is 1033651526. It was assigned to this individual provider in the NPPES registry on November 15, 2016.

Where is Kishimjan Ketner located?

Kishimjan Ketner practices at 150 Holly Springs Church Rd, Inman, SC 29349. The listed phone number is (864) 921-4479.

What is Kishimjan Ketner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kishimjan Ketner enrolled in Medicare?

Yes. Kishimjan Ketner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kishimjan Ketner was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.