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LORI KAYE ELLENBURG APRN
NPI 1043738057
Nurse Practitioner - Family in Pickens, SC

Active since August 30, 2017PECOS EnrolledAccepts Medicare Assignment
123 WG ACKER DR STE B, PICKENS, SC 29671(864) 878-2435 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2018, Aug 30, 2017 (2 updates tracked since 2017).

About Lori Kaye Ellenburg Aprn NPPES

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

LORI KAYE ELLENBURG APRN (NPI 1043738057) is an individual family provider in Pickens, South Carolina, licensed in South Carolina (21169) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Cannon Memorial Hospital, and maintains a secondary practice location in Easley.

NPPES Registry Identity

NPI1043738057
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI KAYE ELLENBURGCredential: APRN
Location Address123 WG ACKER DR STE BPickens, SC 29671-2739
Mailing AddressPo Box 919Pickens, SC 29671-0919 · (864) 897-8286 · Fax (864) 878-0035
Phone(864) 878-2435
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 30, 2017
Last NPPES UpdateOctober 11, 20182 updates tracked since enumeration
✔ NPI 1043738057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 21169
123 WG ACKER DR STE B, Pickens, SC 29671
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 W Roper RdEasley, SC 29640-8805 · Phone (864) 897-8280 · Fax (864) 897-8281

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Kaye Ellenburg Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921349440
PECOS Enrollment IDI20190410002737
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 Reassignments

2

Medicare enrollment records show Lori Ellenburg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cannon Memorial Hospital
Same address
Emergency Medicine
123 WG ACKER DR
Pickens, SC 29671
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1457427494 (South Carolina)
  • 46 clinicians in this Medicare group
NPI 1245930064 (864) 878-4791
St Francis Physician Services Inc
3.0 mi
Internal Medicine
1648 GENTRY MEMORIAL HWY
Easley, SC 29640
  • Reassigned Medicare billing, South Carolina enrollment
  • 248 clinicians in this Medicare group
NPI 1780986687 (864) 855-1331

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services105 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services85 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
18 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cannon Memorial Hospital

Acute Care Hospitals · Pickens, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420011
Location123 W G Acker DrivePickens, SC 29671 · Pickens County
Emergency services

Prisma Health Baptist Easley Hospital

Acute Care Hospitals · Easley, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420015
Location200 Fleetwood DriveEasley, SC 29640 · Pickens County
Emergency services

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29671 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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$62.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GLENDA G. SNYDER NP
Nurse Practitioner (Acute Care)
123 WG ACKER DR STE B
PICKENS, SC 29671
Pickens County (864) 878-2435

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 Lori Ellenburg's NPI number?

The NPI number for Lori Ellenburg is 1043738057. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Lori Ellenburg located?

Lori Ellenburg practices at 123 Wg Acker Dr Ste B, Pickens, SC 29671. The listed phone number is (864) 878-2435.

What is Lori Ellenburg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lori Ellenburg enrolled in Medicare?

Yes. Lori Ellenburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lori Ellenburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Ellenburg reassigns Medicare benefits to 2 organizations: Cannon Memorial Hospital (Pickens, SC) and St Francis Physician Services Inc (Easley, SC). Each 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 Lori Ellenburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Ellenburg accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Lori Ellenburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lori Ellenburg affiliated with any hospitals?

According to CMS data, Lori Ellenburg is affiliated with Cannon Memorial Hospital, Prisma Health Baptist Easley Hospital, St Francis-Downtown and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lori Ellenburg was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.