KAREN MARIE CAIN APRN
NPI 1063875870
Nurse Practitioner - Gerontology in Greenville, SC
About Karen Marie Cain Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN MARIE CAIN APRN (NPI 1063875870) is an individual gerontology provider in Greenville, South Carolina, licensed in South Carolina (19413) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Karen Marie Cain 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.
Medicare Billing Reassignment
Medicare enrollment records show Karen Cain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, SC 29605
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Greenville Memorial Hospital
Acute Care Hospitals · Greenville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENVILLE, SC 29605
GREENVILLE, SC 29605
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 Karen Cain's NPI number?
The NPI number for Karen Cain is 1063875870. It was assigned to this individual provider in the NPPES registry on March 30, 2016.
Where is Karen Cain located?
Karen Cain practices at 1005 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-6900.
What is Karen Cain's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Karen Cain enrolled in Medicare?
Yes. Karen Cain 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 organization bills Medicare for Karen Cain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Cain reassigns Medicare benefits to Prisma Health University Medical Group (Greenville, SC). 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 Karen Cain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Cain accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Karen Cain 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 Karen Cain affiliated with any hospitals?
According to CMS data, Karen Cain is affiliated with Prisma Health Greenville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Karen Cain was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Karen Marie Cain, APRN · NPI 1063875870
Gerontology physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since March 30, 2016.
## Identity
- **NPI:** 1063875870 (Entity type: Individual)
- **Enumerated:** March 30, 2016
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 19413 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1005 GROVE RD, Greenville, SC 29605-4630
- **Phone:** (864) 455-6900 · **Fax:** (864) 255-5619
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prisma Health University Medical Group (NPI 1730850322, Greenville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 19, 2021
- **Other identifiers:** Medicaid NP3865 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1063875870) · Data from the CMS NPPES public registry.