MRS. KELLEY HODGE BOSTIC FNP
NPI 1396257325
Nurse Practitioner - Family in Hartsville, SC

Active since October 31, 2017PECOS EnrolledAccepts Medicare Assignment
701 MEDICAL PARK DR STE 301, HARTSVILLE, SC 29550(843) 383-5978(843) 383-5977 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2022, Jan 30, 2022, Jun 2, 2021 and 3 more (6 updates tracked since 2017).

About Mrs. Kelley Hodge Bostic Fnp NPPES

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

MRS. KELLEY HODGE BOSTIC FNP (NPI 1396257325) is an individual family provider in Hartsville, South Carolina, licensed in South Carolina (21427) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Tuomey Hospital, and is a graduate of University Of South Carolina School Of Medicine (2017).

NPPES Registry Identity

NPI1396257325
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLEY HODGE BOSTICCredential: FNP
Location Address701 MEDICAL PARK DR STE 301Hartsville, SC 29550-4779
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Fax(843) 383-5977
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2017
Enumeration DateOctober 31, 2017
Last NPPES UpdateMarch 2, 20226 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1396257325 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 · 21427
Also ListedNurse PractitionerTaxonomy 363L00000X · License 21427 (SC)
701 MEDICAL PARK DR STE 301, Hartsville, SC 29550

Other Identifiers 1

MedicaidNP4882SC

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. Kelley Hodge Bostic Fnp 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 ID5991064073
PECOS Enrollment IDI20180117002958
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

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 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.
76 services74 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29550 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier22 claims22 services$33.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Cardiovascular Disease)
701 MEDICAL PARK DR STE 301
HARTSVILLE, SC 29550
Internal Medicine (Cardiovascular Disease)
701 MEDICAL PARK DR STE 301
HARTSVILLE, SC 29550

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 Kelley Bostic's NPI number?

The NPI number for Kelley Bostic is 1396257325. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Where is Kelley Bostic located?

Kelley Bostic practices at 701 Medical Park Dr Ste 301, Hartsville, SC 29550. The listed phone number is (843) 383-5978.

What is Kelley Bostic's specialty?

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

Is Kelley Bostic enrolled in Medicare?

Yes. Kelley Bostic 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 Kelley Bostic accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Kelley Bostic 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 Kelley Bostic affiliated with any hospitals?

According to CMS data, Kelley Bostic is affiliated with Prisma Health Tuomey Hospital.

When was this NPI record last updated?

The NPPES record for Kelley Bostic was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.