KIKI S MATTRESS CRNA
NPI 1730537515
Nurse Anesthetist, Certified Registered in Greenville, SC

Q: What is Kiki Mattress's NPI number?

The NPI number for Kiki Mattress is 1730537515. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Q: What is Kiki Mattress's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kiki Mattress was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 June 02, 2016Accepts Medicare Assignment

84.44/100

CMS Quality Rating

7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615(864) 522-3700(864) 522-3705 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2025, Dec 31, 2024, Aug 23, 2024 and 2 more (5 updates tracked since 2018).

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About Kiki S Mattress Crna NPPES

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

KIKI S MATTRESS CRNA (NPI 1730537515) is an individual nurse anesthetist, certified registered in Greenville, South Carolina, licensed in South Carolina (22377) and active in the NPI registry since June 2016. She is affiliated with Prisma Health Greenville Memorial Hospital, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730537515

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKIKI S MATTRESSCredential: CRNA

Location Address7 INDEPENDENCE PT STE 300Greenville, SC 29615-4569

Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8611

Phone(864) 522-3700

Fax(864) 522-3705

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 2, 2016

Last NPPES UpdateFebruary 17, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2025

✔ NPI 1730537515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in SC · 22377✔ Licensed in SC · 76943

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 67377 (ME)

7 INDEPENDENCE PT STE 300, Greenville, SC 29615

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Secondary Practice Locations 2

Location 1716 Stevens AvePortland, ME 04103-2656 · Phone (800) 477-4863

Location 22720 Sunset BlvdWest Columbia, SC 29169-4810 · Phone (803) 791-2000

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

Kiki S Mattress Crna 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 ID4284979600

PECOS Enrollment IDI20181212003518

Medicare Billing Reassignments

Medicare enrollment records show Kiki Mattress reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health University Medical Group

0.8 mi

Pediatrics

4501 OLD SPARTANBURG RD STE 9
Taylors, SC 29687

Reassigned Medicare billing, South Carolina enrollment
3,281 clinicians in this Medicare group

NPI 1801524392 (864) 292-8868

Spartanburg Medical Center

3.5 mi

Family Medicine

398 THE PARKWAY
Greer, SC 29650

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

NPI 1467407536 (864) 877-9577

Lexington Health Inc

73 mi

Family Medicine

1612 CHAPIN RD
Chapin, SC 29036

Reassigned Medicare billing, South Carolina enrollment
1,219 clinicians in this Medicare group

NPI 1316544703 (803) 345-3414

Coastal Healthcare Resources Inc

151 mi

Anesthesiology

1807 W EVANS ST STE C
Florence, SC 29501

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

NPI 1467635128 (866) 877-2762

Medstream Anesthesia PLLC

837 mi

Anesthesiology

2221 LAKESIDE BLVD STE 600
Richardson, TX 75082

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

NPI 1649616160 (828) 210-9386

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 3

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

29 services29 patients

Anesthesia for total hip replacement 01214

Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.

17 services17 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

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.

84.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.33

Improvement Activities

Cost

69.53

Other Providers at the Same Location NPPES 20

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

PAUL DEREK STREET CRNA

Nurse Anesthetist, Certified Registered