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MRS. TANDI W. FORTIER NP
NPI 1205494580
Nurse Practitioner - Psychiatric/Mental Health in Greenville, SC

Active since June 03, 2019PECOS EnrolledAccepts Medicare Assignment
41 PARK CREEK DR, GREENVILLE, SC 29605(864) 299-1600(864) 422-2964 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2021, Jun 18, 2021, Jun 3, 2019 (3 updates tracked since 2019).

About Mrs. Tandi W. Fortier Np NPPES

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

MRS. TANDI W. FORTIER NP (NPI 1205494580) is an individual psychiatric/mental health provider in Greenville, South Carolina, licensed in South Carolina (22821) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Anderson, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205494580
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. TANDI W. FORTIERCredential: NP
Location Address41 PARK CREEK DRGreenville, SC 29605-4270
Mailing Address412 Middleshare DrMauldin, SC 29662-3312 · (864) 567-9086
Phone(864) 299-1600
Fax(864) 422-2964
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 3, 2019
Last NPPES UpdateFebruary 1, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
✔ NPI 1205494580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in SC · 22821
41 PARK CREEK DR, Greenville, SC 29605
Open in Google Maps ↗

Secondary Practice Location 1

Location 1102 Buford Ave Ste AAnderson, SC 29621-3365 · Phone (864) 261-9506 · Fax (864) 226-4201

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare, UnitedHealthcare.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. Tandi W. Fortier 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 ID2769897321
PECOS Enrollment IDI20210212002309
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 Reassignments

3

Medicare enrollment records show Tandi Fortier reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essence Of The Mind Behavioral Health And Wellness
4.6 mi
Psychiatric/Mental Health
25 WOODS LAKE RD STE 321
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
NPI 1376304063 (864) 208-9501
Ernest C. Martin, M.D., P.A.
24 mi
Psychiatry
309 W BELTLINE BLVD, NORTH HILL PROFESSIONAL PARK
Anderson, SC 29625
  • Reassigned Medicare billing, South Carolina enrollment
  • 11 clinicians in this Medicare group
NPI 1871555896 (864) 261-9506
Upstate Wellness Center LLC
24 mi
Psychiatry
102 BUFORD AVE STE A
Anderson, SC 29621
  • Reassigned Medicare billing, South Carolina enrollment
  • 15 clinicians in this Medicare group
NPI 1871362459 (864) 261-9506

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 29605 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 20

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

DR. MARC TARO ISHIZUKA D.O.
Psychiatry & Neurology (Psychiatry)
41 PARK CREEK DR, VA OUTPATIENT CLINIC IN GREENVILLE
GREENVILLE, SC 29605
Greenville County (864) 299-1600
DANA RONCONI LISW-CP
Social Worker (Clinical)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
MRS. AMANDA JOHNSON-LATHAM LISW-CP
Social Worker (Clinical)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
DR. SCOTT MOGAVERO OD
Optometrist
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
BRITTNEY CHANTELL WHITE LCSW, LISW-CP
Social Worker (Clinical)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 640-0065
DR. KEVIN IRMITER PH.D.
Psychologist (Counseling)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
MRS. DONNA SHILANE OUTLAW-THOMAS APRN-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (803) 600-7106
COLUMBIA VAMC
Clinic/Center (VA)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (828) 257-2333

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 Tandi Fortier's NPI number?

The NPI number for Tandi Fortier is 1205494580. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Tandi Fortier located?

Tandi Fortier practices at 41 Park Creek Dr, Greenville, SC 29605. The listed phone number is (864) 299-1600.

What is Tandi Fortier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tandi Fortier enrolled in Medicare?

Yes. Tandi Fortier 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 organizations bill Medicare for Tandi Fortier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tandi Fortier reassigns Medicare benefits to 3 organizations: Essence Of The Mind Behavioral Health And Wellness (Greenville, SC), Ernest C. Martin, M.D., P.A. (Anderson, SC) and Upstate Wellness Center LLC (Anderson, SC). Each 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 Tandi Fortier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tandi Fortier accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Tandi Fortier 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 Tandi Fortier was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.