JAZMYN NEMID AGUDELO MUSTAFA MSN, APRN, PMHNP-BC
NPI 1083323851
Nurse Practitioner - Psychiatric/Mental Health in Charleston, SC

Q: What is Jazmyn Agudelo Mustafa's NPI number?

The NPI number for Jazmyn Agudelo Mustafa is 1083323851. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Q: What is Jazmyn Agudelo Mustafa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 21, 2022PECOS EnrolledAccepts Medicare Assignment

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2025, Sep 4, 2023, Nov 21, 2022 (3 updates tracked since 2022).

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About Jazmyn Nemid Agudelo Mustafa Msn, Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAZMYN NEMID AGUDELO MUSTAFA MSN, APRN, PMHNP-BC (NPI 1083323851) is an individual psychiatric/mental health provider in Charleston, South Carolina, licensed in South Carolina (31169) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083323851

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJAZMYN NEMID AGUDELO MUSTAFACredential: MSN, APRN, PMHNP-BC

Location Address171 ASHLEY AVECharleston, SC 29425-0100

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 721-1414

Phone(843) 792-1414

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 21, 2022

Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1083323851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in SC · 31169

171 ASHLEY AVE, Charleston, SC 29425

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jazmyn Nemid Agudelo Mustafa Msn, Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911356670

PECOS Enrollment IDI20231207001210, I20260106003916

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jazmyn Agudelo Mustafa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Associates Of The Medical University Of South Carol

Same address

Obstetrics & Gynecology

171 ASHLEY AVE
Charleston, SC 29425

Reassigned Medicare billing, South Carolina enrollment
2,594 clinicians in this Medicare group

NPI 1013934629 (843) 792-1414

Lorain County Health & Dentistry

599 mi

Clinic/Center

260 S MAIN ST.
Oberln, OH 44074

Reassigned Medicare billing, Ohio enrollment
88 clinicians in this Medicare group

NPI 1528430097 (440) 240-1655

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN REED WORD M.D.

Allergy & Immunology