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

Vitaliy V Pipenko Jr., APRN

Individual provider Gerontology Nurse Practitioner · NPI 1285012716

Vitaliy V Pipenko Jr., APRN is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2015, 11 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2015
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

1809 Wade Hampton Blvd Ste 120
Greenville, SC 29609-4050
Phone: (864) 522-5000
Fax: (864) 241-9275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 19427 (SC)

Record details

NPI number1285012716
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 17, 2015
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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