ADRIONNA SHABRILLE SUMTER
NPI 1417763012
Nurse Practitioner - Family in Columbia, SC

Active since December 09, 2024PECOS EnrolledAccepts Medicare Assignment
1029 RABON POND DR, COLUMBIA, SC 29223(803) 614-5314 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Dec 9, 2024 (2 updates tracked since 2024).

About Adrionna Shabrille Sumter NPPES

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

ADRIONNA SHABRILLE SUMTER (NPI 1417763012) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (F11240552) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1417763012
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameADRIONNA SHABRILLE SUMTER
Location Address1029 RABON POND DRColumbia, SC 29223-5866
Mailing Address1029 Rabon Pond DrColumbia, SC 29223-5866 · (803) 614-5314
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 9, 2024
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1417763012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · F11240552
1029 RABON POND DR, Columbia, SC 29223

Secondary Practice Location 1

Location 114 Richland Medical Park Dr Ste 320Columbia, SC 29203-6896 · Phone (803) 434-6771 · Fax (803) 434-3955

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

Adrionna Shabrille Sumter 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 ID7810414406
PECOS Enrollment IDI20250507001524
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.

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29223 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.

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 Adrionna Sumter's NPI number?

The NPI number for Adrionna Sumter is 1417763012. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Adrionna Sumter located?

Adrionna Sumter practices at 1029 Rabon Pond Dr, Columbia, SC 29223. The listed phone number is (803) 614-5314.

What is Adrionna Sumter's specialty?

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

Is Adrionna Sumter enrolled in Medicare?

Yes. Adrionna Sumter 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.

Is Adrionna Sumter affiliated with any hospitals?

According to CMS data, Adrionna Sumter is affiliated with Prisma Health Richland Hospital and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Adrionna Sumter was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.