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MRS. CARLEEN WILLEFORD DNP
NPI 1164641908
Nurse Practitioner - Family in North Myrtle Beach, SC

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
416 MAIN ST, NORTH MYRTLE BEACH, SC 29582(843) 663-0933(843) 663-0936 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2025, Jul 24, 2024 (2 updates tracked since 2024).

About Mrs. Carleen Willeford Dnp NPPES

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

MRS. CARLEEN WILLEFORD DNP (NPI 1164641908) is an individual family provider in North Myrtle Beach, South Carolina, licensed in South Carolina (APN3204RX) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1164641908
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CARLEEN WILLEFORDCredential: DNP
Location Address416 MAIN STNorth Myrtle Beach, SC 29582-3024
Mailing Address10 Doctors Cir, Suite 2Supply, NC 28462-4089 · (910) 755-6060 · Fax (910) 755-6061
Phone(843) 663-0933
Fax(843) 663-0936
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateApril 24, 2007
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1164641908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in SC · APN3204RX✔ Licensed in NC · 201524
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 3024 (SC)
416 MAIN ST, North Myrtle Beach, SC 29582
Open in Google Maps ↗

Other Identifiers 2

Other016UXNC · Bcbs Nc Provider Number
Medicaid8987642NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Carleen Willeford Dnp 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 ID6103879309
PECOS Enrollment IDI20240926001814
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.

Medicare Billing Reassignment

Medicare enrollment records show Carleen Willeford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grace Family Services Inc
2.4 mi
Psychiatry
2406 MADISON DR
North Myrtle Beach, SC 29582
  • Reassigned Medicare billing, South Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1003549759 (843) 663-0748

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29582 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

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

COASTAL CAROLINAS INTEGRATED MEDICINE II
Nurse Practitioner (Family)
416 MAIN ST
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 663-0933

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 Carleen Willeford's NPI number?

The NPI number for Carleen Willeford is 1164641908. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Carleen Willeford located?

Carleen Willeford practices at 416 Main St, North Myrtle Beach, SC 29582. The listed phone number is (843) 663-0933.

What is Carleen Willeford's specialty?

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

Is Carleen Willeford enrolled in Medicare?

Yes. Carleen Willeford 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.

Which organization bills Medicare for Carleen Willeford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carleen Willeford reassigns Medicare benefits to Grace Family Services Inc (North Myrtle Beach, SC). The 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 Carleen Willeford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carleen Willeford accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Carleen Willeford 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 Carleen Willeford was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.