Kenny L Nicholson, MSN, APRN, PMHNP-BC - Nurse Practitioner in Anderson, SC

Kenny L Nicholson, MSN, APRN, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Anderson, South Carolina. Kenny L Nicholson is licensed to practice in South Carolina (license number 27318) and his current practice location is 125 Muddy Toes Dr, Anderson, South Carolina. He can be reached at his office (for appointments etc.) via phone at (864) 353-3384.

NPI number for Kenny L Nicholson is 1215626213 and his current mailing address is 113 Shadowood Ct, Seneca, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215626213.

Contact Information

Kenny L Nicholson, MSN, APRN, PMHNP-BC
125 Muddy Toes Dr,
Anderson, SC 29626-5349
(864) 353-3384
(864) 222-9715

Map and Direction




Provider's Profile

Full NameKenny L Nicholson
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location125 Muddy Toes Dr, Anderson, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215626213
  • Provider Enumeration Date: 05/04/2023
  • Last Update Date: 05/04/2023

Medical Identifiers

Medical identifiers for Kenny L Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215626213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 27318 (South Carolina)Primary

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. Kenny L Nicholson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenny L Nicholson, MSN, APRN, PMHNP-BC
113 Shadowood Ct,
Seneca, SC 29678-1275

Ph: (864) 985-3915
Kenny L Nicholson, MSN, APRN, PMHNP-BC
125 Muddy Toes Dr,
Anderson, SC 29626-5349

Ph: (864) 353-3384

Reviews and Comments


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Medicare: Accepting Medicare Assignments
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Cynthia Marie Petermann, NP-C
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Medicare: Accepting Medicare Assignments
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Phone: 864-332-3098    Fax: 855-232-3959
Mrs. Jennifer Lingerfelt, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 4120 Highway 24, Anderson, SC 29626
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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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