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

Kelly Canada Branstetter, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1578988432

Kelly Canada Branstetter, CPNP is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2013, 13 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
13
Licensed in
SC
In the registry since
2014
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

14 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6883
Phone: (803) 434-8450
Fax: (803) 758-0137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 18707 (SC)

Record details

NPI number1578988432
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedFebruary 28, 2014
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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