MRS. MARY ALYSON NIJEM LERSTANG NP
NPI 1851653091
Internal Medicine in Simpsonville, SC

Q: What is Mary Alyson Lerstang's NPI number?

The NPI number for Mary Alyson Lerstang is 1851653091. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Q: What is Mary Alyson Lerstang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 13, 2012PECOS Enrolled

312 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680(864) 603-5600(864) 603-5601 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 5, 2017 (2 updates tracked since 2017).

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About Mrs. Mary Alyson Nijem Lerstang Np NPPES

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

MRS. MARY ALYSON NIJEM LERSTANG NP (NPI 1851653091) is an individual internal medicine provider in Simpsonville, South Carolina, licensed in South Carolina (21011) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851653091

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMRS. MARY ALYSON NIJEM LERSTANGCredential: NP

Location Address312 HARRISON BRIDGE RDSimpsonville, SC 29680-7133

Mailing Address9 Hawthorne Park CtGreenville, SC 29615-3194 · (864) 603-5600 · Fax (864) 603-5601

Phone(864) 603-5600

Fax(864) 603-5601

Sole ProprietorNo

Enumeration DateJune 13, 2012

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1851653091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in SC · 21011

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN155655 (GA)

312 HARRISON BRIDGE RD, Simpsonville, SC 29680

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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 (PECOS)

Mrs. Mary Alyson Nijem Lerstang Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mary Alyson Lerstang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valdosta Medical Clinic

271 mi

Multi-Specialty

3207 COUNTRY CLUB DR
Valdosta, GA 31605

Reassigned Medicare billing, Georgia enrollment
15 clinicians in this Medicare group

NPI 1538200035 (229) 242-8480

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 29680 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

$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 12

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

LINDSEY BRIANNE MCAMIS GOUGE M.D.

Pediatrics