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KELVIN BROOKS
NPI 1396349015
Nurse Practitioner - Family in Columbia, SC

Active since November 23, 2020PECOS Enrolled
1601 GREENE ST, COLUMBIA, SC 29208(803) 413-6483 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelvin Brooks NPPES

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

KELVIN BROOKS (NPI 1396349015) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (30042) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396349015
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKELVIN BROOKS
Location Address1601 GREENE STColumbia, SC 29208-4001
Mailing Address1601 Greene StColumbia, SC 29208-4001
Phone(803) 413-6483
Sole ProprietorNo
Enumeration DateNovember 23, 2020
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1396349015 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 · 30042
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 210674 (SC)
1601 GREENE ST, Columbia, SC 29208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelvin Brooks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelvin Brooks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Molina Care Connections, LLC.
2,125 mi
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, South Carolina enrollment
  • 96 clinicians in this Medicare group
NPI 1407243223 (888) 562-5442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29208 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.

SHERONDA QUILLER SMITH
Nurse Practitioner (Psychiatric/Mental Health)
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 439-8238
LAUREN BISHOP
Nurse Practitioner (Family)
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
KELLI GREGG MADDOX
Nurse Practitioner
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
SHAMERA LANE
Nurse Practitioner
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
CARLY JAMISON DUNN
Student in an Organized Health Care Education/Training Program
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
SALOMEY OWUSUA CAMPBELL
Student in an Organized Health Care Education/Training Program
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
CARLEY ANTOINETTE BRUNETTO
Student in an Organized Health Care Education/Training Program
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
JANICE DENISE JACKSON
Student in an Organized Health Care Education/Training Program
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412

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 Kelvin Brooks's NPI number?

The NPI number for Kelvin Brooks is 1396349015. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Kelvin Brooks located?

Kelvin Brooks practices at 1601 Greene St, Columbia, SC 29208. The listed phone number is (803) 413-6483.

What is Kelvin Brooks's specialty?

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

Is Kelvin Brooks enrolled in Medicare?

Yes. Kelvin Brooks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelvin Brooks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelvin Brooks reassigns Medicare benefits to Molina Care Connections, LLC. (Long Beach, CA). 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 Kelvin Brooks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelvin Brooks was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.