KENDELL CANTRELL MATURE PA-C
NPI 1508676099
Physician Assistant in Laurens, SC

Active since January 08, 2025PECOS EnrolledAccepts Medicare Assignment
22580 HIGHWAY 76 E STE 300, LAURENS, SC 29360(864) 725-4673 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Apr 8, 2025, Jan 8, 2025 (3 updates tracked since 2025).

About Kendell Cantrell Mature Pa-c NPPES

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

KENDELL CANTRELL MATURE PA-C (NPI 1508676099) is an individual physician assistant in Laurens, South Carolina, licensed in South Carolina (MPA.5463) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Newberry County Memorial Hospital, and maintains a secondary practice location in Newberry.

NPPES Registry Identity

NPI1508676099
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENDELL CANTRELL MATURECredential: PA-C
Location Address22580 HIGHWAY 76 E STE 300Laurens, SC 29360-8460
Mailing Address7310 Saint Lukes Church RdProsperity, SC 29127-7125
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 8, 2025
Last NPPES UpdateAugust 29, 20253 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
NPI 1508676099 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 · MPA.5463
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.
22580 HIGHWAY 76 E STE 300, Laurens, SC 29360

Secondary Practice Location 1

Location 12669 Kinard StNewberry, SC 29108-2911 · Phone (803) 276-7570

Other Identifiers 1

Medicaid7977PASC

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

Kendell Cantrell Mature 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 ID1355864851
PECOS Enrollment IDI20250325003122
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.

Newberry County Memorial Hospital

Acute Care Hospitals · Newberry, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420053
Location2669 Kinard St PO Box 497Newberry, SC 29108 · Newberry County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29360 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.

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.

Nurse Practitioner (Family)
22580 HIGHWAY 76 E STE 300
LAURENS, SC 29360
Nurse Practitioner (Family)
22580 HIGHWAY 76 E STE 300
LAURENS, SC 29360

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 Kendell Mature's NPI number?

The NPI number for Kendell Mature is 1508676099. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Kendell Mature located?

Kendell Mature practices at 22580 Highway 76 E Ste 300, Laurens, SC 29360. The listed phone number is (864) 725-4673.

What is Kendell Mature's specialty?

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

Is Kendell Mature enrolled in Medicare?

Yes. Kendell Mature 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 Kendell Mature accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Kendell Mature 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 Kendell Mature affiliated with any hospitals?

According to CMS data, Kendell Mature is affiliated with Newberry County Memorial Hospital and Self Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Kendell Mature was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.