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ALAINA SUMNER
NPI 1265116859
Nurse Practitioner - Acute Care in Columbia, SC

Active since June 14, 2023PECOS EnrolledAccepts Medicare Assignment
2 MEDICAL PARK RD STE 300, COLUMBIA, SC 29203(803) 434-8800(803) 434-8802 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 18, 2026, Sep 16, 2025, Jul 18, 2023 and 1 more (4 updates tracked since 2023).

About Alaina Sumner NPPES

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

ALAINA SUMNER (NPI 1265116859) is an individual acute care provider in Columbia, South Carolina, licensed in South Carolina (27513) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in West Columbia.

NPPES Registry Identity

NPI1265116859
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameALAINA SUMNER
Location Address2 MEDICAL PARK RD STE 300Columbia, SC 29203-6839
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(803) 434-8800
Fax(803) 434-8802
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 14, 2023
Last NPPES UpdateMarch 18, 20264 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1265116859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in SC · 27513
2 MEDICAL PARK RD STE 300, Columbia, SC 29203
Open in Google Maps ↗

Secondary Practice Location 1

Location 12728 Sunset Blvd Ste 104West Columbia, SC 29169-4838 · Phone (803) 256-0464 · Fax (803) 254-5121

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

Alaina Sumner 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 ID4284095779
PECOS Enrollment IDI20230731003791
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 Alaina Sumner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lexington Health Inc
0.7 mi
Obstetrics & Gynecology
557 COLUMBIA AVE STE D
Chapin, SC 29036
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
NPI 1134727290 (803) 345-7546

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
110 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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.

DAVID DEATON
Surgery (Vascular Surgery)
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Richland County (803) 545-5800
JESSE CLANTON M.D.
Surgery
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Richland County (803) 545-5800
ANNA CATHERINE FULLER
Physician Assistant (Surgical)
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Richland County (803) 434-8800
KRISTIE TILLMAN TUSCANY NP
Nurse Practitioner (Acute Care)
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Richland County (803) 434-8800
NICOLE ANN OCHS PA-C
Physician Assistant
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Richland County (803) 434-8800
DR. FERNANDO A. NAVARRO M.D.
Surgery
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Richland County (803) 545-5800
AMANDA ELIZABETH LEE M.D.
Surgery (Surgical Critical Care)
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Richland County (803) 434-8800
CARSON WHITE AGACNP-BC
Nurse Practitioner (Acute Care)
2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
Richland County (803) 434-8800

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 Alaina Sumner's NPI number?

The NPI number for Alaina Sumner is 1265116859. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Alaina Sumner located?

Alaina Sumner practices at 2 Medical Park Rd Ste 300, Columbia, SC 29203. The listed phone number is (803) 434-8800.

What is Alaina Sumner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Alaina Sumner enrolled in Medicare?

Yes. Alaina Sumner 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 Alaina Sumner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alaina Sumner reassigns Medicare benefits to Lexington Health Inc (Chapin, 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 Alaina Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alaina Sumner 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 Alaina Sumner 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 Alaina Sumner affiliated with any hospitals?

According to CMS data, Alaina Sumner is affiliated with Prisma Health Richland Hospital and Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Alaina Sumner was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.