Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelli P Gagne, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861775264

Kelli P Gagne, APRN is a Nurse Practitioner in Rock Hill, South Carolina. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut, North Carolina and South Carolina.

Years since qualifying
15
Licensed in
CT, NC, SC
In the registry since
2011
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

331 E Main St Ste 200
Rock Hill, SC 29730-5384
Phone: (704) 438-0687
Fax: (844) 308-7996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 20033 (SC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4815 (CT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 5008661 (NC)

Record details

NPI number1861775264
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 21, 2011
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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