KATHERINE LEE AMBROSE
NPI 1366040693
Nurse Practitioner - Family in Clemson, SC

Q: What is Katherine Ambrose's NPI number?

The NPI number for Katherine Ambrose is 1366040693. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Q: What is Katherine Ambrose'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 Katherine Ambrose was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 09, 2020PECOS EnrolledAccepts Medicare Assignment

101 CHAPMAN HILL RD STE 201, CLEMSON, SC 29631(864) 653-4071(864) 653-4074 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Feb 23, 2025, Oct 9, 2020 (3 updates tracked since 2020).

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About Katherine Lee Ambrose NPPES

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

KATHERINE LEE AMBROSE (NPI 1366040693) is an individual family provider in Clemson, South Carolina, licensed in South Carolina (30594) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and maintains a secondary practice location in Pickens.

NPPES Registry Identity

NPI1366040693

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHERINE LEE AMBROSE

Location Address101 CHAPMAN HILL RD STE 201Clemson, SC 29631-2194

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697

Phone(864) 653-4071

Fax(864) 653-4074

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 9, 2020

Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1366040693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 30594

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 234988 (SC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

101 CHAPMAN HILL RD STE 201, Clemson, SC 29631

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Secondary Practice Location 1

Location 1200 McDaniel AvePickens, SC 29671-2527 · Phone (864) 898-5965

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

Katherine Lee Ambrose 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 ID6709394158

PECOS Enrollment IDI20250806000053

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.

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420009

Location298 Memorial DrSeneca, SC 29672 · Oconee County

Emergency services Birthing friendly

Prisma Health Baptist Easley Hospital

Acute Care Hospitals · Easley, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420015

Location200 Fleetwood DriveEasley, SC 29640 · Pickens County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29631 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 5

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

SABRINA MONIQUIE DINGLE NP

Nurse Practitioner (Family)