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MRS. CINDY IRENE GEARHEART APRN, FNP-C
NPI 1538773791
Nurse Practitioner - Family in Columbia, SC

Active since September 04, 2020PECOS EnrolledAccepts Medicare Assignment
944 HARDEN ST, COLUMBIA, SC 29205(864) 686-7955(864) 686-7986 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2025, Oct 11, 2021, Sep 4, 2020 (3 updates tracked since 2020).

About Mrs. Cindy Irene Gearheart Aprn, Fnp-c NPPES

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

MRS. CINDY IRENE GEARHEART APRN, FNP-C (NPI 1538773791) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (28381) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1538773791
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CINDY IRENE GEARHEARTCredential: APRN, FNP-C
Location Address944 HARDEN STColumbia, SC 29205-1082
Mailing AddressPo Box 749306Atlanta, GA 30374-9306
Phone(864) 686-7955
Fax(864) 686-7986
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 4, 2020
Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1538773791 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
Licenses✔ Licensed in SC · 28381✔ Licensed in FL · 11009039
944 HARDEN ST, Columbia, SC 29205
Open in Google Maps ↗

Secondary Practice Location 1

Location 110040 Two Notch RdColumbia, SC 29223-4396 · Phone (803) 788-1153

Accepted Insurance

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

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

Mrs. Cindy Irene Gearheart Aprn, 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 ID5193111011
PECOS Enrollment IDI20240322003497
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Cindy Gearheart reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health Urgent Care Of South Carolina, PC
94 mi
Urgent Care
905 VERDAE BLVD STE 101
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 160 clinicians in this Medicare group
NPI 1851000855 (864) 990-1910
Novant Health Urgent Cares LLC
100 mi
Urgent Care
2126 HIGHWAY 81 N
Anderson, SC 29621
  • Reassigned Medicare billing, South Carolina enrollment
  • 133 clinicians in this Medicare group
NPI 1841026382 (999) 999-9999
Unique Healthcare Systems LLC
436 mi
Urgent Care
7101 US HIGHWAY 19 N
Pinellas Park, FL 33781
  • Reassigned Medicare billing, Florida enrollment
  • 93 clinicians in this Medicare group
NPI 1831567627 (727) 201-8585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

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.
105 services105 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
69 services69 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
52 services26 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.
37 services36 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
32 services32 patients
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.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29205 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

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

HOPE BALLARD HOPKINS FNP-C
Nurse Practitioner (Family)
944 HARDEN ST
COLUMBIA, SC 29205
Richland County (864) 686-7955

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 Cindy Gearheart's NPI number?

The NPI number for Cindy Gearheart is 1538773791. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Cindy Gearheart located?

Cindy Gearheart practices at 944 Harden St, Columbia, SC 29205. The listed phone number is (864) 686-7955.

What is Cindy Gearheart's specialty?

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

Is Cindy Gearheart enrolled in Medicare?

Yes. Cindy Gearheart 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 Cindy Gearheart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cindy Gearheart reassigns Medicare benefits to 3 organizations: Prisma Health Urgent Care Of South Carolina, PC (Greenville, SC), Novant Health Urgent Cares LLC (Anderson, SC) and Unique Healthcare Systems LLC (Pinellas Park, FL). 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 Cindy Gearheart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cindy Gearheart accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Cindy Gearheart 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 Cindy Gearheart affiliated with any hospitals?

According to CMS data, Cindy Gearheart is affiliated with Prisma Health Richland Hospital.

When was this NPI record last updated?

The NPPES record for Cindy Gearheart was last updated on November 25, 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.