MRS. KELLY WILLIAMS RYDELL FNP
NPI 1962123265
Nurse Practitioner - Family in Fort Mill, SC

Q: What is Kelly Rydell's NPI number?

The NPI number for Kelly Rydell is 1962123265. It was assigned to this individual provider in the NPPES registry on September 6, 2022. The provider is also known as Kelly Lianne Williams.

Q: What is Kelly Rydell'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 Kelly Rydell was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment

1740 HIGHWAY 160 W, FORT MILL, SC 29708(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Jun 5, 2023, Sep 12, 2022 and 1 more (4 updates tracked since 2022).

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About Mrs. Kelly Williams Rydell Fnp NPPES

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

MRS. KELLY WILLIAMS RYDELL FNP (NPI 1962123265) is an individual family provider in Fort Mill, South Carolina, licensed in South Carolina (27403) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962123265

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KELLY WILLIAMS RYDELLCredential: FNP

Location Address1740 HIGHWAY 160 WFort Mill, SC 29708-8025

Mailing Address1912 Wedgedale DrCharlotte, NC 28210-4544 · (703) 400-2551

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 6, 2022

Last NPPES UpdateOctober 15, 20254 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1962123265 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

Licenses✔ Licensed in SC · 27403✔ Licensed in NC · 5016854✔ Licensed in VA · 0024191517✔ Licensed in CA · 95021706

1740 HIGHWAY 160 W, Fort Mill, SC 29708

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Other Names 1

Former Name (1)Kelly Lianne Williams

Secondary Practice Locations 2

Location 12340 Spring Forest RdRaleigh, NC 27615-7528 · Phone (877) 389-2727

Location 219305 Ruby DrLeesburg, VA 20176-6508 · Phone (866) 389-2727

Accepted Insurance

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

Mrs. Kelly Williams Rydell 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 ID8729449616

PECOS Enrollment IDI20230725000959

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29708 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 9

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

CRYSTAL ALEXIS GILMORE-HOPE FNP-BC

Nurse Practitioner (Family)