KEVIN CHARLES OCONNELL
NPI 1154102291
Nurse Anesthetist, Certified Registered in Little River, SC

Active since October 12, 2023Accepts Medicare Assignment
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566(843) 390-8100 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Jun 14, 2025, Oct 12, 2023 (3 updates tracked since 2023).

About Kevin Charles Oconnell NPPES

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

KEVIN CHARLES OCONNELL (NPI 1154102291) is an individual nurse anesthetist, certified registered in Little River, South Carolina, licensed in South Carolina (APN.30519) and active in the NPI registry since October 2023. He is affiliated with Mcleod Loris Hospital, maintains a secondary practice location in Youngstown, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154102291
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEVIN CHARLES OCONNELL
Location Address4000 HIGHWAY 9 ELittle River, SC 29566-7833
Mailing Address3124 Mohawk DrGibsonia, PA 15044-8266 · (412) 587-1323
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 12, 2023
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1154102291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in SC · APN.30519
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN656800 (PA), RN.505711 (OH)
4000 HIGHWAY 9 E, Little River, SC 29566

Secondary Practice Location 1

Location 11044 Belmont AveYoungstown, OH 44504-1006 · Phone (330) 746-7211

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

Kevin Charles Oconnell 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 ID840796397
PECOS Enrollment IDI20251002003915

Hospital Affiliations CMS Care Compare

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

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29566 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

Emergency Medicine
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Registered Nurse
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Audiologist
4000 HIGHWAY 9 E, SUITE 270
LITTLE RIVER, SC 29566
Physician Assistant
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Orthopaedic Surgery (Sports Medicine)
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Preventive Medicine (Occupational Medicine)
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Clinic/Center (Multi-Specialty)
4000 HIGHWAY 9 E, SUITE 215
LITTLE RIVER, SC 29566
Pharmacist
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566

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 Kevin Oconnell's NPI number?

The NPI number for Kevin Oconnell is 1154102291. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Kevin Oconnell located?

Kevin Oconnell practices at 4000 Highway 9 E, Little River, SC 29566. The listed phone number is (843) 390-8100.

What is Kevin Oconnell's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kevin Oconnell enrolled in Medicare?

Yes. Kevin Oconnell 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.

Is Kevin Oconnell affiliated with any hospitals?

According to CMS data, Kevin Oconnell is affiliated with Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Oconnell was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.