JESSICA THOMPSON SPIVEY NURSE PRACTITIONER
NPI 1164216933
Nurse Practitioner in Loris, SC

Active since April 07, 2025PECOS EnrolledAccepts Medicare Assignment
3485 MITCHELL ST, LORIS, SC 29569(843) 390-0877 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Thompson Spivey Nurse Practitioner NPPES

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

JESSICA THOMPSON SPIVEY NURSE PRACTITIONER (NPI 1164216933) is an individual nurse practitioner in Loris, South Carolina, licensed in South Carolina (30199) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of University Of South Carolina School Of Medicine (2009).

NPPES Registry Identity

NPI1164216933
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA THOMPSON SPIVEYCredential: NURSE PRACTITIONER
Location Address3485 MITCHELL STLoris, SC 29569-2823
Mailing Address3485 Mitchell StLoris, SC 29569-2823
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2009
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
NPI 1164216933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SC · 30199
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3485 MITCHELL ST, Loris, SC 29569

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

Jessica Thompson Spivey Nurse Practitioner 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 ID9638698863
PECOS Enrollment IDI20250521001783
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.

Hospital Affiliations CMS Care Compare 2

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29569 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 3

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

Internal Medicine (Cardiovascular Disease)
3485 MITCHELL ST
LORIS, SC 29569
Internal Medicine (Cardiovascular Disease)
3485 MITCHELL ST
LORIS, SC 29569
Internal Medicine (Cardiovascular Disease)
3485 MITCHELL ST
LORIS, SC 29569

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Spivey's NPI number?

The NPI number for Jessica Spivey is 1164216933. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Jessica Spivey located?

Jessica Spivey practices at 3485 Mitchell St, Loris, SC 29569. The listed phone number is (843) 390-0877.

What is Jessica Spivey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessica Spivey enrolled in Medicare?

Yes. Jessica Spivey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Spivey accept?

Health plans from BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare list Jessica Spivey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jessica Spivey affiliated with any hospitals?

According to CMS data, Jessica Spivey is affiliated with Mcleod Regional Medical Center-Pee Dee and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Spivey was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.