PAULA NICOLE ALLEN
NPI 1265078570
Nurse Practitioner - Family in Columbia, SC

Active since November 21, 2019PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
109 BARTON CREEK CT, COLUMBIA, SC 29229(803) 356-2286(803) 419-8430 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2022, Apr 28, 2022, Nov 21, 2019 (3 updates tracked since 2019).

About Paula Nicole Allen NPPES

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

PAULA NICOLE ALLEN (NPI 1265078570) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (23396) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1265078570
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAULA NICOLE ALLEN
Location Address109 BARTON CREEK CTColumbia, SC 29229-8027
Mailing Address133 Beaver Dam RdColumbia, SC 29223-3101 · (803) 469-6990
Fax(803) 419-8430
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 21, 2019
Last NPPES UpdateApril 19, 20233 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
NPI 1265078570 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
License Licensed in SC · 23396
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 23396 (SC)
109 BARTON CREEK CT, Columbia, SC 29229

Secondary Practice Location 1

Location 1133 Beaver Dam RdColumbia, SC 29223-3101 · Phone (803) 469-6990

Accepted Insurance

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

Paula Nicole Allen 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 ID4587042544
PECOS Enrollment IDI20220602002024
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.

Areas of Expertise CMS Part B claims 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
483 services165 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
474 services162 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services61 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services39 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
38 services38 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
34 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29229 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Other Providers at the Same Location NPPES 6

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

Family Medicine
109 BARTON CREEK CT
COLUMBIA, SC 29229
Physician Assistant (Medical)
109 BARTON CREEK CT
COLUMBIA, SC 29229
Family Medicine
109 BARTON CREEK CT
COLUMBIA, SC 29229
Physician Assistant (Medical)
109 BARTON CREEK CT
COLUMBIA, SC 29229
Nurse Practitioner (Family)
109 BARTON CREEK CT
COLUMBIA, SC 29229
Family Medicine
109 BARTON CREEK CT
COLUMBIA, SC 29229

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 Paula Allen's NPI number?

The NPI number for Paula Allen is 1265078570. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Paula Allen located?

Paula Allen practices at 109 Barton Creek Ct, Columbia, SC 29229. The listed phone number is (803) 356-2286.

What is Paula Allen's specialty?

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

Is Paula Allen enrolled in Medicare?

Yes. Paula Allen 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.

What insurance does Paula Allen accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Paula Allen 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.

Is Paula Allen affiliated with any hospitals?

According to CMS data, Paula Allen is affiliated with Prisma Health Richland Hospital, Lexington Medical Center and Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Paula Allen was last updated on April 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.