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KELLIE M. ROSS MSN, APRN, PMHNP-BC
NPI 1679377014
Nurse Practitioner - Psychiatric/Mental Health in North Myrtle Beach, SC

Active since April 03, 2025PECOS EnrolledAccepts Medicare Assignment
1016 2ND AVE N STE 205, NORTH MYRTLE BEACH, SC 29582(843) 491-3344 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, May 8, 2025, Apr 4, 2025 (3 updates tracked since 2025).

About Kellie M. Ross Msn, Aprn, Pmhnp-bc NPPES

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

KELLIE M. ROSS MSN, APRN, PMHNP-BC (NPI 1679377014) is an individual psychiatric/mental health provider in North Myrtle Beach, South Carolina, licensed in South Carolina (30085) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679377014
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLIE M. ROSSCredential: MSN, APRN, PMHNP-BC
Location Address1016 2ND AVE N STE 205North Myrtle Beach, SC 29582-3288
Mailing Address1016 2nd Ave N Ste 205North Myrtle Beach, SC 29582-3288 · (843) 491-3344
Phone(843) 491-3344
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 3, 2025
Last NPPES UpdateFebruary 25, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1679377014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in SC · 30085
1016 2ND AVE N STE 205, North Myrtle Beach, SC 29582
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Kellie M. Ross Msn, Aprn, Pmhnp-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 ID1850898156
PECOS Enrollment IDI20251010001575
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29582 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 5

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

MARYANNE ZABRYCKI
Social Worker (Clinical)
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 491-3344
SUSAN LANG DBA A PLACE TO START
Social Worker (Clinical)
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 491-3344
TONYA CANDICE WEBER
Acupuncturist
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 653-8007
INDEPENDENT MENTAL HEALTH SOLUTIONS LLC
Nurse Practitioner (Psychiatric/Mental Health)
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 472-8334
SAVANNAH THAMES APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1016 2ND AVE N STE 205
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 491-3344

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 Kellie Ross's NPI number?

The NPI number for Kellie Ross is 1679377014. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Kellie Ross located?

Kellie Ross practices at 1016 2nd Ave N Ste 205, North Myrtle Beach, SC 29582. The listed phone number is (843) 491-3344.

What is Kellie Ross's specialty?

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

Is Kellie Ross enrolled in Medicare?

Yes. Kellie Ross 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 Kellie Ross accept?

Health plans from UnitedHealthcare list Kellie Ross 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.

When was this NPI record last updated?

The NPPES record for Kellie Ross was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.