SHANTISE BYRD
NPI 1871172254
Nurse Practitioner - Psychiatric/Mental Health in Camden, SC

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment
70.05/100
CMS Quality Rating
2010 W DEKALB ST, CAMDEN, SC 29020(803) 272-0500 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, Apr 5, 2021 (2 updates tracked since 2021).

About Shantise Byrd NPPES

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

SHANTISE BYRD (NPI 1871172254) is an individual psychiatric/mental health provider in Camden, South Carolina, licensed in North Carolina (24841) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871172254
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANTISE BYRD
Location Address2010 W DEKALB STCamden, SC 29020-2058
Mailing Address2010 W Dekalb StCamden, SC 29020-2058
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 5, 2021
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1871172254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NC · 24841 Licensed in SC · 24841
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 24841 (SC)
2010 W DEKALB ST, Camden, SC 29020

Secondary Practice Locations 3

Location 1615 Saint George Square Ct Ste 300Winston Salem, NC 27103-1368 · Phone (910) 457-4721
Location 2421 Fayetteville St Ste 1100Raleigh, NC 27601-3000 · Phone (888) 731-8994
Location 310200 Forest Green Blvd Ste 112Louisville, KY 40223-5167 · Phone (206) 588-5251

Accepted 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

Shantise Byrd 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 ID4587073382
PECOS Enrollment IDI20210507000226, I20250305002225, I20250617002094
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29020 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.

70.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.22
Promoting Interoperability98
Improvement Activities40
Cost53.62

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
2010 W DEKALB ST
CAMDEN, SC 29020
Nurse Practitioner (Family)
2010 W DEKALB ST
CAMDEN, SC 29020
Nurse Practitioner (Family)
2010 W DEKALB ST
CAMDEN, SC 29020

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 Shantise Byrd's NPI number?

The NPI number for Shantise Byrd is 1871172254. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Shantise Byrd located?

Shantise Byrd practices at 2010 W Dekalb St, Camden, SC 29020. The listed phone number is (803) 272-0500.

What is Shantise Byrd's specialty?

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

Is Shantise Byrd enrolled in Medicare?

Yes. Shantise Byrd 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 Shantise Byrd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of NC and CareSource and 2 other insurers list Shantise Byrd 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 Shantise Byrd was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.