MS. SIA KOMBA (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1518587807
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,299 NURSE PRACTITIONER in SC
Provider Addresses for MS. SIA KOMBA (NURSE PRACTITIONER)
11000 OPTUM CIR
EDEN PRAIRIE, MN 553442503
Phone:
Type: Mailing
15 BRENDAN WAY
GREENVILLE, SC 296153562
Phone: (864) 213-2700
Type: Location
855 SAM NEWELL RD STE 100
MATTHEWS, NC 281057593
Phone: (704) 360-3637
Type: Location
15 Brendan Way
Greenville, SC 296153562
Phone: (864) 213-2700
Type: Location
1 Saint Francis Dr
Greenville, SC 296013955
Phone: (864) 255-1000
Type: Location
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 292036862
Phone: (803) 434-8323
Fax: (803) 434-8326
Type: Location
PO BOX 743904
ATLANTA, GA 303743904
Phone: (803) 296-7320
Fax: (803) 293-7330
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20210907000479 | I | Nurse Practitioner | SC | TBD |
| I20221121003345 | I | Nurse Practitioner | NC | TBD |
| I20250625002117 | I | Nurse Practitioner | CO | TBD |
| I20250630001782 | I | Nurse Practitioner | DC | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 145 | 134 | $0 |
Insurance plans in this area (ZIP 55344)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | CO | |
| Nurse Practitioner | NC | |
| Family Practice | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Internal Medicine | NC | |
| Nurse Practitioner | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Nurse Practitioner | NC | |
| Physician Assistant | SC | |
| Nurse Practitioner | SC |
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