MRS. GRETCHEN HANSELL COLLUM FNP-BC
NPI 1568508141
Nurse Practitioner - Primary Care in Lexington, SC

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
103 THOMPSON ST STE 200, LEXINGTON, SC 29072(803) 796-7270(803) 796-0106 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2024, Mar 7, 2024, Oct 21, 2020 and 3 more (6 updates tracked since 2018).

About Mrs. Gretchen Hansell Collum Fnp-bc NPPES

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

MRS. GRETCHEN HANSELL COLLUM FNP-BC (NPI 1568508141) is an individual primary care provider in Lexington, South Carolina, licensed in South Carolina (2771) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1568508141
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. GRETCHEN HANSELL COLLUMCredential: FNP-BC
Location Address103 THOMPSON ST STE 200Lexington, SC 29072-2543
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 796-0106
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 25, 20246 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
NPI 1568508141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in SC · 2771
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2771 (SC)
103 THOMPSON ST STE 200, Lexington, SC 29072

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

Mrs. Gretchen Hansell Collum Fnp-bc 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 ID3072619642
PECOS Enrollment IDI20070430000001
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
260 services213 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.
94 services87 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
86 services70 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
44 services44 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
41 services40 patients
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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Other Providers at the Same Location NPPES 11

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

Internal Medicine
103 THOMPSON ST STE 200
LEXINGTON, SC 29072
Family Medicine
103 THOMPSON ST STE 200
LEXINGTON, SC 29072
Internal Medicine
103 THOMPSON ST STE 200
LEXINGTON, SC 29072
Nurse Practitioner
103 THOMPSON ST STE 200
LEXINGTON, SC 29072
Internal Medicine
103 THOMPSON ST STE 200
LEXINGTON, SC 29072
Internal Medicine
103 THOMPSON ST STE 200
LEXINGTON, SC 29072
Internal Medicine
103 THOMPSON ST STE 200
LEXINGTON, SC 29072
Internal Medicine
103 THOMPSON ST STE 200
LEXINGTON, SC 29072

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 Gretchen Collum's NPI number?

The NPI number for Gretchen Collum is 1568508141. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Gretchen Collum located?

Gretchen Collum practices at 103 Thompson St Ste 200, Lexington, SC 29072. The listed phone number is (803) 796-7270.

What is Gretchen Collum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Gretchen Collum enrolled in Medicare?

Yes. Gretchen Collum 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 Gretchen Collum accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Gretchen Collum 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 Gretchen Collum affiliated with any hospitals?

According to CMS data, Gretchen Collum is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Gretchen Collum was last updated on June 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.