MS. KELLY M BISTLINE APRN
NPI 1144947391
Nurse Practitioner - Family in Bonneau, SC

Active since October 27, 2022PECOS EnrolledAccepts Medicare Assignment
1401 MAIN ST, BONNEAU, SC 29431(843) 825-3404(843) 825-3407 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kelly M Bistline Aprn NPPES

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

MS. KELLY M BISTLINE APRN (NPI 1144947391) is an individual family provider in Bonneau, South Carolina, licensed in South Carolina (26733) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144947391
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELLY M BISTLINECredential: APRN
Location Address1401 MAIN STBonneau, SC 29431-5013
Mailing Address1401 Main StBonneau, SC 29431-5013 · (843) 825-3404
Fax(843) 825-3407
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
NPI 1144947391 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 · 26733
1401 MAIN ST, Bonneau, SC 29431

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

Ms. Kelly M Bistline 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 ID4082082276
PECOS Enrollment IDI20221118001714
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 12

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.
215 services148 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.
201 services97 patients
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.
140 services80 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
72 services13 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
59 services59 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
48 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29431 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 2

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

Family Medicine
1401 MAIN ST
BONNEAU, SC 29431
Family Medicine
1401 MAIN ST
BONNEAU, SC 29431

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 Kelly Bistline's NPI number?

The NPI number for Kelly Bistline is 1144947391. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Kelly Bistline located?

Kelly Bistline practices at 1401 Main St, Bonneau, SC 29431. The listed phone number is (843) 825-3404.

What is Kelly Bistline's specialty?

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

Is Kelly Bistline enrolled in Medicare?

Yes. Kelly Bistline 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 Kelly Bistline accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Kelly Bistline 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 Kelly Bistline affiliated with any hospitals?

According to CMS data, Kelly Bistline is affiliated with Trident Medical Center and Roper Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Bistline was last updated on October 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.