KACIE NICOLE TYNER FNP-C
NPI 1528781127
Nurse Practitioner - Family in Greenville, SC
About Kacie Nicole Tyner Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KACIE NICOLE TYNER FNP-C (NPI 1528781127) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (26419) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kacie Nicole Tyner Fnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Kacie Tyner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, SC 29605
- Reassigned Medicare billing, South Carolina enrollment
- 3,281 clinicians in this Medicare group
Anderson, SC 29621
- Reassigned Medicare billing, South Carolina enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREENVILLE, SC 29605
GREENVILLE, SC 29605
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 Kacie Tyner's NPI number?
The NPI number for Kacie Tyner is 1528781127. It was assigned to this individual provider in the NPPES registry on September 20, 2022.
Where is Kacie Tyner located?
Kacie Tyner practices at 701 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-5648.
What is Kacie Tyner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kacie Tyner enrolled in Medicare?
Yes. Kacie Tyner 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.
Which organizations bill Medicare for Kacie Tyner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kacie Tyner reassigns Medicare benefits to 2 organizations: Prisma Health University Medical Group (Greenville, SC) and Anderson Ent, PA (Anderson, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kacie Tyner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kacie Tyner was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Kacie Nicole Tyner, FNP-C · NPI 1528781127
Family physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since September 20, 2022.
## Identity
- **NPI:** 1528781127 (Entity type: Individual)
- **Enumerated:** September 20, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26419 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 GROVE RD, Greenville, SC 29605-4210
- **Phone:** (864) 455-5648 · **Fax:** (864) 455-7862
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prisma Health University Medical Group (NPI 1053786483, Greenville, SC); Anderson Ent, PA (NPI 1447200936, Anderson, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 10, 2022
- **Other identifiers:** Medicaid PENDING (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1528781127) · Data from the CMS NPPES public registry.