KAREN MARIE CAIN APRN
NPI 1063875870
Nurse Practitioner - Gerontology in Greenville, SC

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
1005 GROVE RD, GREENVILLE, SC 29605(864) 455-6900(864) 255-5619 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2021, May 7, 2021, Jun 22, 2016 and 2 more (5 updates tracked since 2016).

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 Hillcrest Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063875870
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKAREN MARIE CAINCredential: APRN
Location Address1005 GROVE RDGreenville, SC 29605-4630
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8615
Fax(864) 255-5619
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 30, 2016
Last NPPES UpdateMay 19, 20215 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
NPI 1063875870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in SC · 19413
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 19413 (SC)
1005 GROVE RD, Greenville, SC 29605

Other Identifiers 1

MedicaidNP3865SC

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2365733029
PECOS Enrollment IDI20160628000607
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.

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.

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.
100 services95 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420037
Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County
Emergency services

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 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.

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 20

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

Nurse Practitioner (Gerontology)
1005 GROVE RD
GREENVILLE, SC 29605
Pharmacist (Ambulatory Care)
1005 GROVE RD
GREENVILLE, SC 29605
Physician Assistant
1005 GROVE RD
GREENVILLE, SC 29605
Internal Medicine (Clinical Cardiac Electrophysiology)
1005 GROVE RD
GREENVILLE, SC 29605
Physician Assistant
1005 GROVE RD
GREENVILLE, SC 29605
Internal Medicine (Cardiovascular Disease)
1005 GROVE RD
GREENVILLE, SC 29605
Clinic/Center (Multi-Specialty)
1005 GROVE RD
GREENVILLE, SC 29605
Physician Assistant
1005 GROVE RD
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.

What insurance does Karen Cain accept?

Health plans from 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 Hillcrest Hospital and 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.