JENNA VIDITZ-WARD AUD
NPI 1093555716
Audiologist in Fort Mill, SC

Active since May 30, 2024Accepts Medicare Assignment
870 GOLD HILL RD STE 104, FORT MILL, SC 29708(803) 620-8250(803) 638-6901 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 17, 2025, Aug 16, 2024 (2 updates tracked since 2024).

About Jenna Viditz-ward Aud NPPES

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

JENNA VIDITZ-WARD AUD (NPI 1093555716) is an individual audiologist in Fort Mill, South Carolina, licensed in South Carolina (7971) and active in the NPI registry since May 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1093555716
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameJENNA VIDITZ-WARDCredential: AUD
Location Address870 GOLD HILL RD STE 104Fort Mill, SC 29708-8988
Mailing Address870 Gold Hill Rd Ste 104Fort Mill, SC 29708-8988 · (803) 620-8250 · Fax (803) 638-6901
Fax(803) 638-6901
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 30, 2024
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1093555716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License Licensed in SC · 7971
Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X · License 7971 (SC)
870 GOLD HILL RD STE 104, Fort Mill, SC 29708

Other Names 1

Former Name (1)Jenna M Van Bosch Au.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenna Viditz-ward Aud 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 ID1658811203
PECOS Enrollment IDI20240910001181

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29708 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
$53.57 typical visit price
range $53.57 – $163.84
Typical copayment $13.39 (range $13.39 – $40.96)
Most-billed visit code 99202
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 4

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

Clinic/Center (Hearing and Speech)
870 GOLD HILL RD STE 104
FORT MILL, SC 29708
Audiologist
870 GOLD HILL RD STE 104
FORT MILL, SC 29708
Speech-Language Pathologist
870 GOLD HILL RD STE 104
FORT MILL, SC 29708
Audiologist
870 GOLD HILL RD STE 104
FORT MILL, SC 29708

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093555716, enumerated as an "individual" on May 30, 2024.

The provider is located at 870 GOLD HILL RD STE 104 FORT MILL, SC 29708 and the phone number is (803) 620-8250.

Audiologist with taxonomy code 231H00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.