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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNY L NICHOLSON MSN, APRN, PMHNP-BC
NPI 1215626213
Nurse Practitioner - Psychiatric/Mental Health in North Myrtle Beach, SC

Active since May 04, 2023PECOS EnrolledAccepts Medicare Assignment
1016 2ND AVE N STE 205, NORTH MYRTLE BEACH, SC 29582(843) 491-3344(843) 491-3399 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, May 4, 2023 (2 updates tracked since 2023).

About Kenny L Nicholson Msn, Aprn, Pmhnp-bc NPPES

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

KENNY L NICHOLSON MSN, APRN, PMHNP-BC (NPI 1215626213) is an individual psychiatric/mental health provider in North Myrtle Beach, South Carolina, licensed in South Carolina (27318) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215626213
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKENNY L NICHOLSONCredential: MSN, APRN, PMHNP-BC
Location Address1016 2ND AVE N STE 205North Myrtle Beach, SC 29582-3288
Mailing Address113 Shadowood CtSeneca, SC 29678-1275 · (864) 985-3915
Phone(843) 491-3344
Fax(843) 491-3399
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 4, 2023
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1215626213 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 · 27318
1016 2ND AVE N STE 205, North Myrtle Beach, SC 29582
Open in Google Maps ↗

Other Names 1

Professional Name (2)Ken L Nicholson Msn, Aprn, Pmhnp-bc

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 and more.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

Kenny L Nicholson Msn, Aprn, Pmhnp-bc 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 ID4880179126
PECOS Enrollment IDI20260403001225
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 Kenny Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Future Psych Solutions, LLC
136 mi
Community/Behavioral Health
1911 GADSDEN ST STE 101
Columbia, SC 29201
  • Reassigned Medicare billing, South Carolina enrollment
  • 21 clinicians in this Medicare group
NPI 1134595200 (803) 851-0642

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 7

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

MARYANNE ZABRYCKI
Social Worker (Clinical)
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 491-3344
SUSAN LANG DBA A PLACE TO START
Social Worker (Clinical)
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 491-3344
TONYA CANDICE WEBER
Acupuncturist
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 653-8007
BRIANA PANETTI ADCIP
Social Worker (Clinical)
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 491-3344
INDEPENDENT MENTAL HEALTH SOLUTIONS LLC
Nurse Practitioner (Psychiatric/Mental Health)
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 472-8334
KELLIE M. ROSS MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 491-3344
SAVANNAH THAMES APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 491-3344

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 Kenny Nicholson's NPI number?

The NPI number for Kenny Nicholson is 1215626213. It was assigned to this individual provider in the NPPES registry on May 4, 2023. The provider is also known as Ken L Nicholson Msn, Aprn, Pmhnp-Bc.

Where is Kenny Nicholson located?

Kenny Nicholson practices at 1016 2nd Ave N Ste 205, North Myrtle Beach, SC 29582. The listed phone number is (843) 491-3344.

What is Kenny Nicholson's specialty?

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

Is Kenny Nicholson enrolled in Medicare?

Yes. Kenny Nicholson 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 Kenny Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenny Nicholson reassigns Medicare benefits to Future Psych Solutions, LLC (Columbia, 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 Kenny Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenny Nicholson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare and 1 other insurer list Kenny Nicholson 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 Kenny Nicholson was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.