KELLY ARDIS AGPCNP-BC
NPI 1417304734
Nurse Practitioner - Adult Health in Greenwood, SC
About Kelly Ardis Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ARDIS AGPCNP-BC (NPI 1417304734) is an individual adult health provider in Greenwood, South Carolina, licensed in South Carolina (20183) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Ardis Agpcnp-bc 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Ardis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenwood, SC 29646
- Reassigned Medicare billing, South Carolina enrollment
- 560 clinicians in this Medicare group
Greenwood, SC 29646
- Reassigned Medicare billing, South Carolina enrollment
- 231 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, South Carolina enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Self Regional Healthcare
Acute Care Hospitals · Greenwood, SCAbbeville Area Medical Center
Critical Access Hospitals · Abbeville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREENWOOD, SC 29646
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 Kelly Ardis's NPI number?
The NPI number for Kelly Ardis is 1417304734. It was assigned to this individual provider in the NPPES registry on May 17, 2016.
Where is Kelly Ardis located?
Kelly Ardis practices at 1325 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-4095.
What is Kelly Ardis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kelly Ardis enrolled in Medicare?
Yes. Kelly Ardis 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.
Which organizations bill Medicare for Kelly Ardis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Ardis reassigns Medicare benefits to 3 organizations: Self Medical Group (Greenwood, SC), Self Regional Healthcare (Greenwood, SC) and Matrix Medical Plus (Nashville, TN). Each 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 Kelly Ardis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Ardis accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Kelly Ardis 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 Kelly Ardis affiliated with any hospitals?
According to CMS data, Kelly Ardis is affiliated with Self Regional Healthcare and Abbeville Area Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Ardis was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelly Ardis, AGPCNP-BC · NPI 1417304734
Adult Health physician in Greenwood, South Carolina. Individual provider, active in the CMS NPPES registry since May 17, 2016.
## Identity
- **NPI:** 1417304734 (Entity type: Individual)
- **Enumerated:** May 17, 2016
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 20183 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1325 SPRING ST, Greenwood, SC 29646-3860
- **Phone:** (864) 725-4095
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Self Medical Group (NPI 1013579259, Greenwood, SC); Self Regional Healthcare (NPI 1013867498, Greenwood, SC); Matrix Medical Plus (NPI 1376973461, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 7, 2026
- **Other identifiers:** Medicaid NP6050 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1417304734) · Data from the CMS NPPES public registry.