Jennifer Lynn Kidane, PA
NPI 1164350955ActiveIndividual· Physician Assistant· Boiling Springs, SC
Physician Assistant (PA) with Prisma Health University Medical Group, practicing in Boiling Springs, South Carolina. Enrolled in Medicare as practitioner - physician assistant. Lists Prisma Health Greenville Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1164350955 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 12, 2026 |
| Last updated in NPPES | Jul 21, 2026 |
| Certified by provider | Jul 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 6470 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (SC) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Prisma Health University Medical GroupGreenville, SC · 2,493 clinicians
Hospital affiliation
- Prisma Health Greenville Memorial HospitalGreenville, SC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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