MARIA MALATANOS KENNICKELL PA-C
NPI 1447400171
Physician Assistant in Mount Pleasant, SC

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment
82.43/100
CMS Quality Rating
1300 HOSPITAL DR STE 300, MOUNT PLEASANT, SC 29464(843) 884-5200 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, May 7, 2020, Mar 18, 2020 and 3 more (6 updates tracked since 2017).

About Maria Malatanos Kennickell Pa-c NPPES

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

MARIA MALATANOS KENNICKELL PA-C (NPI 1447400171) is an individual physician assistant in Mount Pleasant, South Carolina, licensed in South Carolina (2729) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of George Washington University School Of Medicine (2008).

NPPES Registry Identity

NPI1447400171
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIA MALATANOS KENNICKELLCredential: PA-C
Location Address1300 HOSPITAL DR STE 300Mount Pleasant, SC 29464-3217
Mailing Address1300 Hospital Dr Ste 300Mount Pleasant, SC 29464-3217 · (843) 793-5182 · Fax (843) 266-5125
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2008
Enumeration DateSeptember 30, 2008
Last NPPES UpdateMarch 3, 20256 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1447400171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · 2729
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.
1300 HOSPITAL DR STE 300, Mount Pleasant, SC 29464

Other Identifiers 1

Medicaid2999PASC

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

Maria Malatanos Kennickell 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 ID8820155922
PECOS Enrollment IDI20170804003103
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 3

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.

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.
541 services442 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
169 services169 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.
105 services104 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number420089
Location2000 Hospital DrMount Pleasant, SC 29464 · Charleston County
Emergency services Birthing friendly

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420104
Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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.

82.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.03
Promoting Interoperability100
Improvement Activities40
Cost59.4

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1300 HOSPITAL DR STE 300
MT PLEASANT, SC 29464
Internal Medicine (Gastroenterology)
1300 HOSPITAL DR STE 300
MT PLEASANT, SC 29464

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 Maria Kennickell's NPI number?

The NPI number for Maria Kennickell is 1447400171. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Maria Kennickell located?

Maria Kennickell practices at 1300 Hospital Dr Ste 300, Mount Pleasant, SC 29464. The listed phone number is (843) 884-5200.

What is Maria Kennickell's specialty?

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

Is Maria Kennickell enrolled in Medicare?

Yes. Maria Kennickell 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 Maria Kennickell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Maria Kennickell 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 Maria Kennickell affiliated with any hospitals?

According to CMS data, Maria Kennickell is affiliated with Musc Medical Center, Bon Secours-St Francis Xavier Hospital, Roper Hospital, East Cooper Medical Center and Mount Pleasant Hospital.

When was this NPI record last updated?

The NPPES record for Maria Kennickell was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.