Fort Mill Senior Wellness LLC
NPI 1336992601 · Nurse Practitioner · Rock Hill, SC
Fort Mill Senior Wellness LLC is a Nurse Practitioner organization in Rock Hill, SC (NPI 1336992601).
Provider details
- NPI number
- 1336992601
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kelli Gagne, President(860) 346-0252
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
- Geriatric Psychiatry Physician2084P0805X
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Self Employed
Registry dates
- Enumerated
- 2024-04-08
- Last updated
- 2024-04-08
- Certified
- 2024-04-01
Frequently asked questions
- What is Fort Mill Senior Wellness LLC's NPI number?
- Fort Mill Senior Wellness LLC's National Provider Identifier (NPI) is 1336992601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Mill Senior Wellness LLC?
- Fort Mill Senior Wellness LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fort Mill Senior Wellness LLC located?
- Fort Mill Senior Wellness LLC's practice location on file with NPPES is 331 E Main St Ste 200, Rock Hill, SC 29730-5384.
- What is Fort Mill Senior Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Fort Mill Senior Wellness LLC is (704) 438-0687.
- Who is the authorized official for Fort Mill Senior Wellness LLC?
- The authorized official listed on Fort Mill Senior Wellness LLC's NPPES record is Kelli Gagne, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Mill Senior Wellness LLC's NPI active?
- Yes — Fort Mill Senior Wellness LLC's NPI (1336992601) is active in the NPPES registry as of the last update on 2024-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.