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KELLI P GAGNE APRN
NPI 1861775264
Nurse Practitioner - Psychiatric/Mental Health in Rock Hill, SC

Active since September 21, 2011PECOS EnrolledAccepts Medicare Assignment
85.97/100
CMS Quality Rating
331 E MAIN ST STE 200, ROCK HILL, SC 29730(704) 438-0687(844) 308-7996 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelli P Gagne Aprn NPPES

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

KELLI P GAGNE APRN (NPI 1861775264) is an individual psychiatric/mental health provider in Rock Hill, South Carolina, licensed in South Carolina (20033) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861775264
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLI P GAGNECredential: APRN
Location Address331 E MAIN ST STE 200Rock Hill, SC 29730-5384
Mailing Address331 E Main St Ste 200Rock Hill, SC 29730-5384 · (704) 438-0687 · Fax (844) 308-7996
Phone(704) 438-0687
Fax(844) 308-7996
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 21, 2011
Last NPPES UpdateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1861775264 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
Licenses✔ Licensed in SC · 20033✔ Licensed in CT · 4815✔ Licensed in NC · 5008661
331 E MAIN ST STE 200, Rock Hill, SC 29730
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Providence Health Plan.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

Kelli P Gagne 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 ID8820261795
PECOS Enrollment IDI20160425001402, I20160830003053
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.

Areas of Expertise CMS Part B claims 8

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,589 services333 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
868 services217 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
599 services267 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
373 services373 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
270 services270 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
31 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29730 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.

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.

85.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.23
Improvement Activities40
Cost56.89

Reported Quality Measures

Dementia: Cognitive Assessment
93%359 patients
Documentation of Current Medications in the Medical Record
100%3,802 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%598 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%78 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
72%88 patients3/55-star benchmark: 97%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 601 patients
Patients totalRate: 2% · 601 patients
0%601 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SALEM ROGERS
Behavior Technician
331 E MAIN ST STE 200
ROCK HILL, SC 29730
York County (855) 832-6727
DONNA LENAY LOVELL
Behavior Technician
331 E MAIN ST STE 200
ROCK HILL, SC 29730
York County (855) 832-6727
RELIABLE HOME HEALTHCARE LLC
In Home Supportive Care
331 E MAIN ST STE 200
ROCK HILL, SC 29730
York County (215) 303-5663
KI'ONA YAHON-DENISE MCCOY
Behavior Technician
331 E MAIN ST STE 200
ROCK HILL, SC 29730
York County (855) 832-6727
IUMA ALEXIS MARIE BECHT
Behavior Technician
331 E MAIN ST STE 200
ROCK HILL, SC 29730
York County (855) 832-6727
ELIZABETH A GUIDRY
Behavior Technician
331 E MAIN ST STE 200
ROCK HILL, SC 29730
York County (855) 832-6727
MRS. ROBYN LEIGH WORSHAM BROWN M.ED, BCBA
Behavior Analyst
331 E MAIN ST STE 200
ROCK HILL, SC 29730
York County (843) 287-0362
SC MC SPROUT LLC
Behavior Analyst
331 E MAIN ST STE 200
ROCK HILL, SC 29730
York County (833) 991-2368

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 Kelli Gagne's NPI number?

The NPI number for Kelli Gagne is 1861775264. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Kelli Gagne located?

Kelli Gagne practices at 331 E Main St Ste 200, Rock Hill, SC 29730. The listed phone number is (704) 438-0687.

What is Kelli Gagne's specialty?

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

Is Kelli Gagne enrolled in Medicare?

Yes. Kelli Gagne 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 Kelli Gagne accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Kelli Gagne 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 Kelli Gagne was last updated on September 20, 2022. 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.