MISS JESSICA SUE TABER WHCNP-BC
NPI 1174355986
Nurse Practitioner - Women's Health in Charleston, SC

Q: What is Jessica Taber's NPI number?

The NPI number for Jessica Taber is 1174355986. It was assigned to this individual provider in the NPPES registry on August 19, 2024. The provider is also known as Jessica Sue Elliott.

Q: What is Jessica Taber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Taber was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 19, 2024PECOS EnrolledAccepts Medicare Assignment

2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414(843) 402-2028(843) 402-2023 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2026, Mar 12, 2026, Aug 19, 2024 (3 updates tracked since 2024).

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About Miss Jessica Sue Taber Whcnp-bc NPPES

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

MISS JESSICA SUE TABER WHCNP-BC (NPI 1174355986) is an individual women's health provider in Charleston, South Carolina, licensed in South Carolina (31406) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174355986

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMISS JESSICA SUE TABERCredential: WHCNP-BC

Location Address2095 HENRY TECKLENBURG DRCharleston, SC 29414-5733

Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (888) 472-0043 · Fax (843) 724-2454

Phone(843) 402-2028

Fax(843) 402-2023

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 19, 2024

Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1174355986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

Licenses✔ Licensed in SC · 31406✔ Licensed in TN · 36849

2095 HENRY TECKLENBURG DR, Charleston, SC 29414

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Other Names 1

Former Name (1)Jessica Sue Elliott

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

Miss Jessica Sue Taber Whcnp-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 ID7012444128

PECOS Enrollment IDI20260416000796

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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.

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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.

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