Kelly Metts Humphries, APRN in Moncks Corner, SC

Kelly Metts Humphries, APRN is a medicare enrolled "Nurse Practitioner - Family" in Moncks Corner, South Carolina. Her current practice location is 1043 Black Tom Rd, Moncks Corner, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 860-7535.

Kelly Metts Humphries is licensed to practice in South Carolina (license number APN28247RX) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821850447.

Contact Information

	Kelly Metts Humphries, APRN
	1043 Black Tom Rd, Moncks Corner, SC 29461-8816
	(843) 860-7535
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Metts Humphries
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1043 Black Tom Rd, Moncks Corner, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821850447
Provider Enumeration Date: 01/29/2024
Last Update Date: 03/18/2026

Medicare PECOS Information:

PECOS PAC ID: 9931638897
Enrollment ID: I20250122003514

Medical Identifiers

Medical identifiers for Kelly Metts Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821850447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	28247 (South Carolina)	Secondary
363LX0106X	Nurse Practitioner - Occupational Health	APN28247RX (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	APN28247RX (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Metts Humphries allows following entities to bill medicare on her behalf.

Entity Name	Carolina Family Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627

Entity Name	Novant Health Urgent Cares Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841026382 PECOS PAC ID: 8628502598 Enrollment ID: O20241114002376

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Metts Humphries is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Metts Humphries, APRN 1043 Black Tom Rd, Moncks Corner, SC 29461-8816 Ph: (843) 860-7535	Kelly Metts Humphries, APRN 1043 Black Tom Rd, Moncks Corner, SC 29461-8816 Ph: (843) 860-7535

Reviews and Comments

Nurse Practitioner Nurses in Moncks Corner, SC

Mrs. Suzanne Morris Blakeley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 306 Airport Dr, Moncks Corner, SC 29461 Phone: 843-761-8272
Mrs. Helene Marchand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 N Highway 52, Suite 8, Moncks Corner, SC 29461 Phone: 843-899-9420 Fax: 843-899-9421
Miss Meagan Wilson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 278 Camellia Bloom Dr, Moncks Corner, SC 29461 Phone: 843-452-4186
Allison M. Krakeel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 459 N Highway 52, Moncks Corner, SC 29461 Phone: 843-899-3870 Fax: 843-899-3877
Monique D Simon, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 403 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308
Anacorita Ellisor, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 306 Airport Dr, Moncks Corner, SC 29461 Phone: 304-429-1088
Elizabeth Dawn Glauser, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 459 N Highway 52, Moncks Corner, SC 29461 Phone: 843-899-3870

Kelly Metts Humphries, APRN - Medicare Nurse Practitioner in Moncks Corner, SC