MS. KELSI NICOLE CHISOM FNP
NPI 1598529448
Nurse Practitioner in Huntersville, NC

Q: What is Kelsi Chisom's NPI number?

The NPI number for Kelsi Chisom is 1598529448. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Q: What is Kelsi Chisom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsi Chisom was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 12, 2024PECOS EnrolledAccepts Medicare Assignment

9930 KINCEY AVE STE 200, HUNTERSVILLE, NC 28078(704) 887-4530 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2026, Nov 13, 2025, Jul 2, 2025 (3 updates tracked since 2025).

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About Ms. Kelsi Nicole Chisom Fnp NPPES

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

MS. KELSI NICOLE CHISOM FNP (NPI 1598529448) is an individual nurse practitioner in Huntersville, North Carolina, licensed in North Carolina (5022630) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1598529448

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. KELSI NICOLE CHISOMCredential: FNP

Location Address9930 KINCEY AVE STE 200Huntersville, NC 28078-6541

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268

Phone(704) 887-4530

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 12, 2024

Last NPPES UpdateJanuary 30, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1598529448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5022630

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 28364 (SC)

9930 KINCEY AVE STE 200, Huntersville, NC 28078

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Secondary Practice Locations 8

Location 1456 N Main StHemingway, SC 29554-9190 · Phone (843) 558-9319 · Fax (843) 558-9818

Location 22200 Crow Ln Ste 303AMyrtle Beach, SC 29577-1663 · Phone (843) 848-5310 · Fax (843) 237-9797

Location 3701 S Morgan AveAndrews, SC 29510-2959 · Phone (843) 264-5253 · Fax (843) 264-5970

Location 49653 Ocean HwyPawleys Island, SC 29585-7425 · Phone (843) 235-3131 · Fax (843) 237-9797

Location 54040 Highway 17 Unit 202Murrells Inlet, SC 29576-5098 · Phone (843) 235-3131

Location 62200 Crow LnMyrtle Beach, SC 29577-1663 · Phone (843) 235-3131

Location 74070 Highway 17Murrells Inlet, SC 29576-5033 · Phone (843) 235-3131

Location 81014 Huger DRGeorgetown, SC 29440-3322 · Phone (843) 235-3131 · Fax (843) 237-9797

Accepted Insurance

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

Ms. Kelsi Nicole Chisom Fnp 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 ID3971048430

PECOS Enrollment IDI20240709004034, I20260121001389

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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

182 services177 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.

170 services148 patients

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.

134 services112 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

52 services47 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.

45 services45 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.

24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420020

Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County

Emergency services

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420098

Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 12

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

THE PRESBYTERIAN HOSPITAL

Internal Medicine (Cardiovascular Disease)