1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Nurse Practitioner
  6. NPI Profile

MRS. KEIONDA CRUMBLIN CALDWELL NURSE PRACTITIONER
NPI 1487185484
Nurse Practitioner - Family in Columbia, SC

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
4605 MONTICELLO RD STE 2, COLUMBIA, SC 29203(803) 753-5590 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2018, Jan 9, 2018, Aug 7, 2017 and 1 more (4 updates tracked since 2017).

About Mrs. Keionda Crumblin Caldwell Nurse Practitioner NPPES

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

MRS. KEIONDA CRUMBLIN CALDWELL NURSE PRACTITIONER (NPI 1487185484) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (20857) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487185484
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KEIONDA CRUMBLIN CALDWELLCredential: NURSE PRACTITIONER
Location Address4605 MONTICELLO RD STE 2Columbia, SC 29203-4156
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 753-5591
Phone(803) 753-5590
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 22, 2017
Last NPPES UpdateJune 15, 20264 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1487185484 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 · 20857
4605 MONTICELLO RD STE 2, Columbia, SC 29203
Open in Google Maps ↗

Secondary Practice Location 1

Location 12220 N Beltline BlvdColumbia, SC 29204-3907 · Phone (839) 600-9101 · Fax (864) 984-0768

Other Identifiers 1

MedicaidNP4722SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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. Keionda Crumblin Caldwell Nurse Practitioner 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 ID2466728829
PECOS Enrollment IDI20171030003024
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

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
49%194 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
34%327 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
10%126 patients1/55-star benchmark: 100%
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.

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.

EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Podiatrist
4605 MONTICELLO RD STE 2, BUILDING B
COLUMBIA, SC 29203
Richland County (803) 705-3172
DR. JOY BERRY PHARMD
Pharmacist
4605 MONTICELLO RD STE 2
COLUMBIA, SC 29203
Richland County (803) 252-3770

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 Keionda Caldwell's NPI number?

The NPI number for Keionda Caldwell is 1487185484. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Keionda Caldwell located?

Keionda Caldwell practices at 4605 Monticello Rd Ste 2, Columbia, SC 29203. The listed phone number is (803) 753-5590.

What is Keionda Caldwell's specialty?

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

Is Keionda Caldwell enrolled in Medicare?

Yes. Keionda Caldwell 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 Keionda Caldwell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Keionda Caldwell 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 Keionda Caldwell was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.