MS. LISA D CLYBURN NP-C
NPI 1235380254
Nurse Practitioner - Family in Kershaw, SC

Q: What is Lisa Clyburn's NPI number?

The NPI number for Lisa Clyburn is 1235380254. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Q: What is Lisa Clyburn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Clyburn was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 08, 2008PECOS EnrolledAccepts Medicare Assignment

216 E MARION ST, KERSHAW, SC 29067(803) 475-3350(803) 475-3355 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Ms. Lisa D Clyburn Np-c NPPES

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

MS. LISA D CLYBURN NP-C (NPI 1235380254) is an individual family provider in Kershaw, South Carolina, licensed in South Carolina (3698) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Musc Health Lancaster Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1235380254

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. LISA D CLYBURNCredential: NP-C

Location Address216 E MARION STKershaw, SC 29067-1442

Mailing AddressPo Box 1259Camden, SC 29021-1259 · (803) 713-8350 · Fax (803) 713-9256

Phone(803) 475-3350

Fax(803) 475-3355

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateOctober 8, 2008

Last NPPES UpdateFebruary 24, 2012

✔ NPI 1235380254 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 · 3698

216 E MARION ST, Kershaw, SC 29067

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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

Ms. Lisa D Clyburn Np-c 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 ID1153489190

PECOS Enrollment IDI20081021000290

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 Lisa Clyburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sandhills Medical Foundation, Inc.

0.1 mi

Federally Qualified Health Center (FQHC)

205 W MARION ST
Kershaw, SC 29067

Reassigned Medicare billing, South Carolina enrollment
Also billed through NPI 1083228779 (South Carolina), NPI 1780398461 (South Carolina), NPI 1922584481 (South Carolina)
36 clinicians in this Medicare group

NPI 1386902542 (803) 475-4701

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

Areas of Expertise CMS Part B claims 4

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.

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

41 services29 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

20 services17 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

19 services15 patients

Detection test by immunoassay technique for streptococcus, group a (strep) 87430

A detection test using the immunoassay technique for Group A Strep is a simple procedure. It identifies a specific bacteria, Streptococcus, which can cause throat infections. A swab from your throat is taken and tested for the presence of these bacteria.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420036

Location800 W Meeting StLancaster, SC 29720 · Lancaster County

Emergency services Birthing friendly

Kershawhealth

Acute Care Hospitals · Camden, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420048

Location1315 Roberts StreetCamden, SC 29020 · Kershaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29067 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 8

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

JACQUELYN S. GILL M.D

Internal Medicine