Kimberly Stites, CNM in Columbia, SC - Medicare Advanced Practice Midwife

Kimberly Stites, CNM is a medicare enrolled "Advanced Practice Midwife" in Columbia, South Carolina. Her current practice location is 2 Medical Park Rd Ste 107, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 434-4480.

Kimberly Stites is licensed to practice in South Carolina (license number 24270) 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 1104293992.

Contact Information

	Kimberly Stites, CNM
	2 Medical Park Rd Ste 107, Columbia, SC 29203-6839
	(803) 434-4480
	(803) 434-3340

Map and Direction

Provider's Profile

Full Name	Kimberly Stites
Gender	Female
Speciality	Advanced Practice Midwife
Location	2 Medical Park Rd Ste 107, Columbia, 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: 1104293992
Provider Enumeration Date: 08/27/2015
Last Update Date: 05/12/2025

Medicare PECOS Information:

PECOS PAC ID: 6204136344
Enrollment ID: I20201027000297

Medical Identifiers

Medical identifiers for Kimberly Stites such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104293992	NPI	-	NPPES
Q693893365	Other	SC	MEDICARE PIN
MW0282	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	576 (North Carolina)	Secondary
367A00000X	Advanced Practice Midwife	24270 (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. Kimberly Stites allows following entities to bill medicare on her behalf.

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129

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. Kimberly Stites 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
Kimberly Stites, CNM 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697	Kimberly Stites, CNM 2 Medical Park Rd Ste 107, Columbia, SC 29203-6839 Ph: (803) 434-4480

Reviews and Comments

Advanced Practice Midwife Nurses in Columbia, SC

Megan A Crane, NP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212 Phone: 803-907-7700 Fax: 803-907-7309
Lydia Elliott, APRN-CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd Ste 107, Columbia, SC 29203 Phone: 803-434-4480 Fax: 803-434-3340
Ms. Jo Ellen Roberson, RN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2100 Bull St, Columbia, SC 29201 Phone: 251-415-1496 Fax: 251-415-8601
Debra L Woda, APRN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Rd Ste 107, Columbia, SC 29203 Phone: 803-545-5700 Fax: 803-434-4699
Ms. Janne Debes, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Thomson Student Health Center, University Of South Carolina, Columbia, SC 29208 Phone: 803-777-8920 Fax: 803-777-0621
Ms. Lindsey Carol Maxwell, MSN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Rd Ste 107, Columbia, SC 29203 Phone: 803-434-4480 Fax: 803-434-3340

Kimberly Stites, CNM - Medicare Advanced Practice Midwife in Columbia, SC