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MAL VERNE ODEAN INNISS MSN, APRN, ACNP-AG
NPI 1851087019
Nurse Practitioner in Charleston, SC

Active since April 12, 2023PECOS EnrolledAccepts Medicare Assignment
109 BEE ST, CHARLESTON, SC 29401(843) 577-5011 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mal Verne Odean Inniss Msn, Aprn, Acnp-ag NPPES

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

MAL VERNE ODEAN INNISS MSN, APRN, ACNP-AG (NPI 1851087019) is an individual nurse practitioner in Charleston, South Carolina, licensed in South Carolina (27119) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1851087019
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMAL VERNE ODEAN INNISSCredential: MSN, APRN, ACNP-AG
Location Address109 BEE STCharleston, SC 29401-5703
Mailing Address112 Long Needle LnSummerville, SC 29485-4943 · (843) 437-6495
Phone(843) 577-5011
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2023
Last NPPES UpdateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1851087019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 27119
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 · Acute CareTaxonomy 363LA2100X · License 27119 (SC)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 27119 (SC)
109 BEE ST, Charleston, SC 29401
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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

Mal Verne Odean Inniss Msn, Aprn, Acnp-ag 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 ID9335636802
PECOS Enrollment IDI20251017000200
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 Reassignments

2

Medicare enrollment records show Mal Verne Inniss reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charleston Radiologists PA
6.9 mi
Diagnostic Radiology
1241 WOODLAND AVENUE
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 34 clinicians in this Medicare group
NPI 1811000177 (843) 824-0606
Pelican II, LLC
6.9 mi
Diagnostic Radiology
1241 WOODLAND AVENUE
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 23 clinicians in this Medicare group
NPI 1871681445 (843) 824-0606

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29401 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 20

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

MRS. PAMELA STAKER MSN, FNP-BC
Nurse Practitioner (Family)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
SUSANNE H HENDRICKS R.D.
Dietitian, Registered
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
DR. PATRICK S COGAN PHARM.D.
Pharmacist
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
DR. JOHN MOSS PAINTER
Counselor (Pastoral)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
MICHELLE E HOWELL LMSW
Social Worker
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
RENEA BROWN BLIGEN LISW-CP/S
Social Worker (Clinical)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
RENEE GRACE REAGAN LMSW
Social Worker
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 789-6568
MRS. JULISE WASHINGTON HUGHES LMSW
Social Worker
109 BEE ST, RM E215
CHARLESTON, SC 29401
Charleston County (843) 792-7027

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 Mal Verne Inniss's NPI number?

The NPI number for Mal Verne Inniss is 1851087019. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Mal Verne Inniss located?

Mal Verne Inniss practices at 109 Bee St, Charleston, SC 29401. The listed phone number is (843) 577-5011.

What is Mal Verne Inniss's specialty?

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

Is Mal Verne Inniss enrolled in Medicare?

Yes. Mal Verne Inniss 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.

Which organizations bill Medicare for Mal Verne Inniss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mal Verne Inniss reassigns Medicare benefits to 2 organizations: Charleston Radiologists PA (Mount Pleasant, SC) and Pelican II, LLC (Mount Pleasant, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mal Verne Inniss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mal Verne Inniss affiliated with any hospitals?

According to CMS data, Mal Verne Inniss is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Mal Verne Inniss was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.