Individual ProviderKimberley Brooke NidifferNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressSc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203(800) 491-0909PECOS EnrollmentBased on the most recent information from CMS, provider Kimberley Brooke Nidiffer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1245010768Provider TypeIndividualFull NameNidiffer, Kimberley BrookeCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date10/2/2023Last Updated11/2/2023Contact InformationPractice LocationPractice AddressSc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxMailing LocationMailing AddressSc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense27651South CarolinaCode363LP2300XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense27651South Carolina