KACIE NICOLE TYNER FNP-C
NPI 1528781127
Nurse Practitioner - Family in Greenville, SC

Q: 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.

Q: What is Kacie Tyner's specialty?

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

Q: 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.

Active since September 20, 2022PECOS EnrolledAccepts Medicare Assignment

701 GROVE RD, GREENVILLE, SC 29605(864) 455-5648(864) 455-7862 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 10, 2022, Sep 20, 2022 (2 updates tracked since 2022).

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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, is affiliated with Prisma Health Greenville Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528781127

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKACIE NICOLE TYNERCredential: FNP-C

Location Address701 GROVE RDGreenville, SC 29605-4210

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 455-5648

Fax(864) 455-7862

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 20, 2022

Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration

NPPES CertifiedNovember 10, 2022

✔ NPI 1528781127 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 · 26419

701 GROVE RD, Greenville, SC 29605

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Other Identifiers 1

MedicaidPENDINGSC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.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

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.

PECOS PAC ID143698332

PECOS Enrollment IDI20221118001841

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

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

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

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.

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.

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.

ABDULLAH DARVESH

Internal Medicine

701 GROVE RD
GREENVILLE, SC 29605

Greenville County (864) 455-7882

DANIEL RUIZ

Internal Medicine

701 GROVE RD
GREENVILLE, SC 29605

Greenville County (864) 455-7882

ALAN ROBERT THOMPSON MD

Hospitalist

701 GROVE RD, 5TH FLOOR
GREENVILLE, SC 29605

Greenville County (864) 455-4411

GEORGE R SWEET CRNA

Nurse Anesthetist, Certified Registered

701 GROVE RD, ANESTHESIA DEPT
GREENVILLE, SC 29605

Greenville County (864) 455-7111

CRAIG DOUGLAS YOUNG PHD

Clinical Neuropsychologist

701 GROVE RD
GREENVILLE, SC 29605

Greenville County (864) 455-7000

JENNIFER WEBB GEORGE CRNA

Nurse Anesthetist, Certified Registered

701 GROVE RD
GREENVILLE, SC 29605

Greenville County (864) 455-7111

MEENU MARIE VARGHESE D.O.

Internal Medicine

701 GROVE RD, 5TH FLOOR SUPPORT TOWER
GREENVILLE, SC 29605

Greenville County (864) 455-7882

AMANDA TIPTON LARSON CRNA

Nurse Anesthetist, Certified Registered

701 GROVE RD
GREENVILLE, SC 29605

Greenville County (864) 522-2286

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.

What insurance does Kacie Tyner accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Kacie Tyner 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 Kacie Tyner affiliated with any hospitals?

According to CMS data, Kacie Tyner is affiliated with Prisma Health Greenville Memorial Hospital.

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.