LYN-MARIE KUBALL FNP
NPI 1922632702
Nurse Practitioner - Family in Little River, SC

Q: What is Lyn-marie Kuball's NPI number?

The NPI number for Lyn-marie Kuball is 1922632702. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Q: What is Lyn-marie Kuball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lyn-marie Kuball was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 02, 2020PECOS EnrolledAccepts Medicare Assignment

4303 LIVE OAK DR, LITTLE RIVER, SC 29566(843) 663-8000(843) 663-8123 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lyn-marie Kuball Fnp NPPES

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

LYN-MARIE KUBALL FNP (NPI 1922632702) is an individual family provider in Little River, South Carolina, licensed in South Carolina (105268) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922632702

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLYN-MARIE KUBALLCredential: FNP

Location Address4303 LIVE OAK DRLittle River, SC 29566-9138

Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8000 · Fax (843) 663-8123

Phone(843) 663-8000

Fax(843) 663-8123

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 2, 2020

NPPES CertifiedMarch 2, 2020

✔ NPI 1922632702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 105268

4303 LIVE OAK DR, Little River, SC 29566

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Other Identifiers 1

Other0SC · 0

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Lyn-marie Kuball Fnp 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 ID42649824

PECOS Enrollment IDI20200330002033

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.

Hospital Affiliations CMS Care Compare 3

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

Conway Medical Center

Acute Care Hospitals · Conway, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420049

Location300 Singleton Ridge RoadConway, SC 29526 · Horry County

Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420105

Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29566 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.

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