MRS. NICOLE C KEETER PA-C
NPI 1396997110
Physician Assistant in Fort Mill, SC

Active since October 13, 2008PECOS EnrolledAccepts Medicare Assignment
87.45/100
CMS Quality Rating
1700 1ST BAXTER XING STE 101, FORT MILL, SC 29708(803) 802-3376(803) 802-3329 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Nicole C Keeter Pa-c NPPES

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

MRS. NICOLE C KEETER PA-C (NPI 1396997110) is an individual physician assistant in Fort Mill, South Carolina, licensed in South Carolina (TL3251) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2008).

NPPES Registry Identity

NPI1396997110
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. NICOLE C KEETERCredential: PA-C
Location Address1700 1ST BAXTER XING STE 101Fort Mill, SC 29708-8950
Mailing Address1700 1st Baxter Xing Ste 101Fort Mill, SC 29708-8950 · (803) 802-3376 · Fax (803) 802-3329
Fax(803) 802-3329
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2008
Enumeration DateOctober 13, 2008
Last NPPES UpdateJune 17, 2019
NPI 1396997110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in SC · TL3251 Licensed in VA · 0110003081 Licensed in DC · PA030560
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1700 1ST BAXTER XING STE 101, Fort Mill, SC 29708

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. Nicole C Keeter Pa-c 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 ID941369573
PECOS Enrollment IDI20190730004598
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 14

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
770 services140 patients
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.
441 services356 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
281 services219 patients
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.
153 services127 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
148 services127 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
127 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29708 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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

87.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.2
Improvement Activities40
Cost81.63

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
83%251 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
64%377 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%401 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
58%160 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Nicole Keeter's NPI number?

The NPI number for Nicole Keeter is 1396997110. It was assigned to this individual provider in the NPPES registry on October 13, 2008.

Where is Nicole Keeter located?

Nicole Keeter practices at 1700 1st Baxter Xing Ste 101, Fort Mill, SC 29708. The listed phone number is (803) 802-3376.

What is Nicole Keeter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Keeter enrolled in Medicare?

Yes. Nicole Keeter 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 Nicole Keeter accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and UnitedHealthcare list Nicole Keeter 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 Nicole Keeter was last updated on June 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.