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

MS. Kelly M Bistline, APRN

Individual provider Family Nurse Practitioner · NPI 1144947391

MS. Kelly M Bistline, APRN is a Nurse Practitioner in Bonneau, South Carolina. Qualified in 2022, 4 years ago. Practices with Palmetto Primary Care Physicians LLC, a 148-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1401 Main St
Bonneau, SC 29431-5013
Phone: (843) 825-3404
Fax: (843) 825-3407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26733 (SC)

Record details

NPI number1144947391
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 27, 2022
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Palmetto Primary Care Physicians Llc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount