KATHRYN A O'DONALD CRNP
NPI 1043205289
Nurse Practitioner - Women's Health in Myrtle Beach, SC

Q: What is Kathryn O'donald's NPI number?

The NPI number for Kathryn O'donald is 1043205289. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Q: What is Kathryn O'donald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn O'donald was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 14, 2005PECOS Enrolled

170 VILLAGE CENTER BLVD, MYRTLE BEACH, SC 29579(843) 449-5848(843) 497-5019 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2020, Feb 3, 2020 (2 updates tracked since 2020).

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About Kathryn A O'donald Crnp NPPES

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

KATHRYN A O'DONALD CRNP (NPI 1043205289) is an individual women's health provider in Myrtle Beach, South Carolina, licensed in Pennsylvania (VP001864G) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Myrtle Beach.

NPPES Registry Identity

NPI1043205289

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKATHRYN A O'DONALDCredential: CRNP

Location Address170 VILLAGE CENTER BLVDMyrtle Beach, SC 29579-3400

Mailing Address170 Village Center BlvdMyrtle Beach, SC 29579-3400 · (843) 449-5848 · Fax (843) 497-5019

Phone(843) 449-5848

Fax(843) 497-5019

Sole ProprietorNo

Enumeration DateSeptember 14, 2005

Last NPPES UpdateMarch 5, 20202 updates tracked since enumeration

NPPES CertifiedMarch 5, 2020

✔ NPI 1043205289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in PA · VP001864G

170 VILLAGE CENTER BLVD, Myrtle Beach, SC 29579

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Secondary Practice Location 1

Location 1901 Medical CirMyrtle Beach, SC 29572-4116 · Phone (843) 449-5848 · Fax (843) 497-5019

Other Identifiers 3

Other0991970PA · Keystone Health Plan Cent

OtherOD1629923PA · Highmark

Other50038695PA · Capital Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn A O'donald Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn O'donald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC

1,040 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Pennsylvania and South Carolina enrollments
553 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29579 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCLEOD PHYSICIAN ASSOCIATES II

Obstetrics & Gynecology

170 VILLAGE CENTER BLVD
MYRTLE BEACH, SC 29579

Horry County (843) 777-7010

PROF. KAREN THOMPSON APRN WHNP

Nurse Practitioner (Women's Health)

170 VILLAGE CENTER BLVD
MYRTLE BEACH, SC 29579

Horry County (843) 673-9855

LISA MERCADO PA-C

Physician Assistant

170 VILLAGE CENTER BLVD
MYRTLE BEACH, SC 29579

Horry County (843) 449-5848

CRISTIN COX CNM

Advanced Practice Midwife

170 VILLAGE CENTER BLVD
MYRTLE BEACH, SC 29579

Horry County (843) 449-5848

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 Kathryn O'donald's NPI number?

The NPI number for Kathryn O'donald is 1043205289. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Kathryn O'donald located?

Kathryn O'donald practices at 170 Village Center Blvd, Myrtle Beach, SC 29579. The listed phone number is (843) 449-5848.

What is Kathryn O'donald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kathryn O'donald enrolled in Medicare?

Yes. Kathryn O'donald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn O'donald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn O'donald reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn O'donald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn O'donald was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.