MRS. HELEN JOHN ULMER
NPI 1265523724
Nurse Practitioner - Psychiatric/Mental Health in Charleston, SC

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
73.84/100
CMS Quality Rating
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Helen John Ulmer NPPES

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

MRS. HELEN JOHN ULMER (NPI 1265523724) is an individual psychiatric/mental health provider in Charleston, South Carolina, licensed in South Carolina (889) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1265523724
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. HELEN JOHN ULMER
Location Address171 ASHLEY AVECharleston, SC 29425-9149
Mailing AddressPo Box 751461Charleston, SC 29425-0001 · (843) 792-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 27, 2006
Last NPPES UpdateApril 19, 2021
NPPES CertifiedApril 19, 2021
NPI 1265523724 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
Licenses Licensed in SC · 889 Licensed in SC · CMS 889
171 ASHLEY AVE, Charleston, SC 29425

Other Identifiers 1

OtherCMS 889SC · Clinical Nurse Specialist

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

Mrs. Helen John Ulmer 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 ID6709887961
PECOS Enrollment IDI20210427001492
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 2

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.

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.
72 services28 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
25 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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.

73.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.28
Promoting Interoperability99
Improvement Activities40
Cost53.36

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.

Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425

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 Helen Ulmer's NPI number?

The NPI number for Helen Ulmer is 1265523724. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Helen Ulmer located?

Helen Ulmer practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Helen Ulmer's specialty?

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

Is Helen Ulmer enrolled in Medicare?

Yes. Helen Ulmer 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 Helen Ulmer accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Helen Ulmer 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 Helen Ulmer was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.