VICTORIOUS SUPRENA NELSON NP
NPI 1124713128
Nurse Practitioner - Family in Columbia, SC

Q: What is Victorious Nelson's NPI number?

The NPI number for Victorious Nelson is 1124713128. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Q: What is Victorious Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Victorious Nelson was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 06, 2023PECOS EnrolledAccepts Medicare Assignment

115 BLARNEY DR STE 209, COLUMBIA, SC 29223(803) 736-6262(803) 699-1934 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Victorious Suprena Nelson Np NPPES

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

VICTORIOUS SUPRENA NELSON NP (NPI 1124713128) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (24006) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of University Of South Carolina School Of Medicine (2019).

NPPES Registry Identity

NPI1124713128

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVICTORIOUS SUPRENA NELSONCredential: NP

Location Address115 BLARNEY DR STE 209Columbia, SC 29223-6291

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(803) 736-6262

Fax(803) 699-1934

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2019

Enumeration DateApril 6, 2023

Last NPPES UpdateApril 18, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1124713128 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 · 24006

115 BLARNEY DR STE 209, Columbia, SC 29223

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

Victorious Suprena Nelson Np 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 ID2860857653

PECOS Enrollment IDI20230501001468

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 9

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.

119 services49 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

116 services51 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.

57 services46 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

26 services26 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

22 services21 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

20 services19 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 Richland Hospital

Acute Care Hospitals · Columbia, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420018

Location5 Medical ParkColumbia, SC 29203 · Richland County

Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420086

Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29223 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.

APRIL DANNEE STUBBS

Family Medicine

115 BLARNEY DR STE 209
COLUMBIA, SC 29223

Richland County (803) 736-6262

PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP

Family Medicine

115 BLARNEY DR STE 209
COLUMBIA, SC 29223

Richland County (803) 736-6262

CANDACE CLINTON MD

Family Medicine

115 BLARNEY DR STE 209
COLUMBIA, SC 29223

Richland County (803) 736-6262

DR. SHAGUFTA YASMIN CHAUDHRY M.D

Family Medicine

115 BLARNEY DR STE 209
COLUMBIA, SC 29223

Richland County (803) 736-6262

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 Victorious Nelson's NPI number?

The NPI number for Victorious Nelson is 1124713128. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Victorious Nelson located?

Victorious Nelson practices at 115 Blarney Dr Ste 209, Columbia, SC 29223. The listed phone number is (803) 736-6262.

What is Victorious Nelson's specialty?

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

Is Victorious Nelson enrolled in Medicare?

Yes. Victorious Nelson 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 Victorious Nelson accept?

Health plans from BlueCross BlueShield of South Carolina list Victorious Nelson 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 Victorious Nelson affiliated with any hospitals?

According to CMS data, Victorious Nelson is affiliated with Prisma Health Richland Hospital and Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Victorious Nelson was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.