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

Kendall Sisk

Individual provider Family Nurse Practitioner · NPI 1619757275

Kendall Sisk is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2023, 3 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
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Practice location Address checks out

1120 Grove Rd
Greenville, SC 29605-4656
Phone: (864) 455-8897
Fax: (864) 455-8555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 Sunset Dr Ste 200, Columbia, SC 29203-6803 — (803) 434-3020

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28524 (SC)

Record details

NPI number1619757275
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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