KENNA COURTNEY STEPHANIE ALTOBELLO (APN) – Adult Health Clinical Nurse Specialist, NPI 1851716708
Adult Health Clinical Nurse Specialist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KENNA COURTNEY STEPHANIE ALTOBELLO (APN)
PO BOX 743904
ATLANTA, GA 303743904
Phone: (803) 296-7320
Fax: (803) 296-7330
Type: Mailing
104 SALUDA POINTE DR
LEXINGTON, SC 290727295
Phone: (803) 296-7846
Fax: (803) 296-9699
Type: Location
PO BOX 402145
ATLANTA, GA 303842145
Phone: (803) 296-7320
Fax: (803) 296-7330
Type: Mailing
1850 LAUREL ST
COLUMBIA, SC 292012627
Phone: (803) 256-3400
Type: Location
101 W UNIVERSITY AVE
CHAMPAIGN, IL 618203981
Phone: (217) 366-2670
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-01-16 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS INC. | $125 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180116002351 | I | Certified Clinical Nurse Specialist (Cns) | SC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 263 | 181 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 227 | 154 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 133 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | GA | |
| Internal Medicine | NC | |
| Physician Assistant | SC | |
| - | SC | |
| H O S P I T A L I S T | GA | |
| Vascular Surgery | FL | |
| - | GA | |
| Interventional Cardiology, Internal Medicine | SC | |
| Orthopedic Surgery | SC |
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