XELLENI ALYANNA PAGAYON APRN
NPI 1639977697
Nurse Practitioner - Psychiatric/Mental Health in Charleston, SC

Q: What is Xelleni Alyanna Pagayon's NPI number?

The NPI number for Xelleni Alyanna Pagayon is 1639977697. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Q: What is Xelleni Alyanna Pagayon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 05, 2025PECOS EnrolledAccepts Medicare Assignment

2079 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 974-5622 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Xelleni Alyanna Pagayon Aprn NPPES

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

XELLENI ALYANNA PAGAYON APRN (NPI 1639977697) is an individual psychiatric/mental health provider in Charleston, South Carolina, licensed in South Carolina (29957) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639977697

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameXELLENI ALYANNA PAGAYONCredential: APRN

Location Address2079 CHARLIE HALL BLVDCharleston, SC 29414-5834

Mailing Address2079 Charlie Hall BlvdCharleston, SC 29414-5834 · (843) 974-5622

Phone(843) 974-5622

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 5, 2025

NPPES CertifiedFebruary 12, 2025

✔ NPI 1639977697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in SC · 29957

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 247794 (SC)

2079 CHARLIE HALL BLVD, Charleston, SC 29414

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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

Xelleni Alyanna Pagayon Aprn 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 ID9931619525

PECOS Enrollment IDI20250612000004

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 Reassignment

Medicare enrollment records show Xelleni Alyanna Pagayon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centerway Behavioral Health LLC

Same address

Psychiatry

2079 CHARLIE HALL BLVD
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
4 clinicians in this Medicare group

NPI 1023534302 (843) 974-5622

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 29414 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 7

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

CENTERWAY BEHAVIORAL HEALTH LLC

Psychiatry & Neurology (Psychiatry)