PRISMA HEALTH OCONEE MEMORIAL HOSPITAL
NPI 1063968196
General Acute Care Hospital in Seneca, SC
About Prisma Health Oconee Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL (NPI 1063968196) is a healthcare organization registered as a general acute care hospital in Seneca, South Carolina and active in the NPI registry since August 2016. The organization holds 4 active CLIA laboratory certificates and lists Polly H. Miller, Vp Payor Strategies & Alignment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prisma Health Oconee Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
412Medicare enrollment records show 412 clinicians reassign Medicare billing to Prisma Health Oconee Memorial Hospital, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 412Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 42D0864617
Prisma Health - Upstate Dba Prisma Health Oconee Memorial Hospital Poc Lab · Seneca, SCCertificate of Accreditation 42D0253201
Prisma Health - Upstate Dba Prisma Health Oconee Memorial Hospital Laboratory · Seneca, SCCertificate for Provider-Performed Microscopy Procedures (PPMP) 42D2151293
Prisma Health - Upstate Dba Prisma Health Center For Family Medicine - Oconee Poc Lab · Seneca, SCCertificate of Accreditation 42D2342459
Prisma Health Upstate Cancer Institute Seneca Laboratory · Seneca, SCFrequently 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 Prisma Health-Upstate's NPI number?
The NPI number for Prisma Health-Upstate is 1063968196. It was assigned to this organization in the NPPES registry on August 29, 2016. The provider is doing business as Prisma Health Oconee Memorial Hospital.
Where is Prisma Health-Upstate located?
Prisma Health-Upstate is located at 298 Memorial Dr, Seneca, SC 29672. The listed phone number is (864) 885-7156.
What is Prisma Health-Upstate's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Prisma Health-Upstate enrolled in Medicare?
Yes. Prisma Health-Upstate is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prisma Health-Upstate?
According to the CMS Revalidation Reassignment List (October 2026 release), 412 clinicians in 13 Medicare specialties reassign their Medicare billing to Prisma Health-Upstate. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (267), Emergency Medicine (99) and Nurse Practitioner (20). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prisma Health-Upstate hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Prisma Health-Upstate accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Prisma Health-Upstate 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.
When was this NPI record last updated?
The NPPES record for Prisma Health-Upstate was last updated on February 3, 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.
# Prisma Health Oconee Memorial Hospital · NPI 1063968196
General Acute Care Hospital organization in Seneca, South Carolina. Organization record, active in the CMS NPPES registry since August 29, 2016.
## Identity
- **NPI:** 1063968196 (Entity type: Organization)
- **Enumerated:** August 29, 2016
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Legal business name:** Prisma Health-Upstate
- **Organization subpart:** No
- **Authorized official:** Polly Miller, VP PAYOR STRATEGIES & ALIGNMENT
## Practice location
- **Address:** 298 MEMORIAL DR, Seneca, SC 29672-9443
- **Phone:** (864) 885-7156
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 412 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (267), Emergency Medicine (99), Nurse Practitioner (20); 6 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1063968196/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2021
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063968196) · Data from the CMS NPPES public registry.