KELLY ARDIS AGPCNP-BC
NPI 1417304734
Nurse Practitioner - Adult Health in Greenwood, SC

Q: 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.

Q: What is Kelly Ardis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: 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 7 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 May 17, 2016PECOS EnrolledAccepts Medicare Assignment

1325 SPRING ST, GREENWOOD, SC 29646(864) 725-4095 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2026, Feb 7, 2025, May 17, 2016 (3 updates tracked since 2016).

On this page

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

NPI1417304734

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLY ARDISCredential: AGPCNP-BC

Location Address1325 SPRING STGreenwood, SC 29646-3860

Mailing Address1325 Spring StGreenwood, SC 29646-3860 · (864) 725-4095

Phone(864) 725-4095

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 17, 2016

Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1417304734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in SC · 20183

1325 SPRING ST, Greenwood, SC 29646

Open in Google Maps ↗

Other Identifiers 1

MedicaidNP6050SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.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

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.

PECOS PAC ID8921396540

PECOS Enrollment IDI20161014001407

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.

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420071

Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County

Emergency services Birthing friendly

Abbeville Area Medical Center

Critical Access Hospitals · Abbeville, SC

OwnershipVoluntary non-profit - Other

CMS Certification Number421301

Location420 Thomson CircleAbbeville, SC 29620 · Abbeville County

Emergency services

Physician 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.

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.

LAURA DIANE MOON

Nurse Anesthetist, Certified Registered