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JERRY A CAMISA FNP
NPI 1215585567
Nurse Practitioner - Family in Little River, SC

Active since August 29, 2019PECOS EnrolledAccepts Medicare Assignment
4303 LIVE OAK DR, LITTLE RIVER, SC 29566(843) 663-8000(843) 663-8123 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jerry A Camisa Fnp NPPES

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

JERRY A CAMISA FNP (NPI 1215585567) is an individual family provider in Little River, South Carolina, licensed in South Carolina (22934) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Mcleod Loris Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215585567
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJERRY A CAMISACredential: FNP
Location Address4303 LIVE OAK DRLittle River, SC 29566-9138
Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8000 · Fax (843) 663-8123
Phone(843) 663-8000
Fax(843) 663-8123
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 29, 2019
✔ NPI 1215585567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 22934
4303 LIVE OAK DR, Little River, SC 29566
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Jerry A Camisa Fnp 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 ID547692501
PECOS Enrollment IDI20191112002795
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

2

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

Little River Medical Center Inc
Same address
Federally Qualified Health Center (FQHC)
4303 LIVE OAK DR
Little River, SC 29566
NPI 1629021076 (843) 663-8000
Southeastern Hospitalist Services PC
15 mi
Hospitalist
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 529 clinicians in this Medicare group
NPI 1003280108 (843) 692-1000

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
39 services20 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
34 services12 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
21 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

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 29566 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.

JESSE MITCHEL RAYBON DMD
Dentist
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Horry County (843) 663-8011
JILLIAN M. SINISCALCHI AGP-NP
Nurse Practitioner (Gerontology)
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Horry County (843) 663-8000
LITTLE RIVER MEDICAL CENTER PHARMACY
Pharmacy
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Horry County (843) 663-8099
LITTLE RIVER MEDICAL CENTER INC
Dentist
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Horry County (843) 663-8000
DR. KENNETH L CRUTCHER M.D.
Family Medicine
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Horry County (843) 663-8000
ASHLEY JOAN RILEY FNP
Nurse Practitioner (Family)
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Horry County (843) 663-8294
DR. LATISHA KEARSLEY DDS
Dentist (General Practice)
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Horry County (843) 663-8000
DR. REBECCA MARIE MARKHAM DMD
Dentist (General Practice)
4303 LIVE OAK DR
LITTLE RIVER, SC 29566
Horry County (843) 663-8000

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 Jerry Camisa's NPI number?

The NPI number for Jerry Camisa is 1215585567. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Where is Jerry Camisa located?

Jerry Camisa practices at 4303 Live Oak Dr, Little River, SC 29566. The listed phone number is (843) 663-8000.

What is Jerry Camisa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jerry Camisa enrolled in Medicare?

Yes. Jerry Camisa 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.

Which organizations bill Medicare for Jerry Camisa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Camisa reassigns Medicare benefits to 2 organizations: Little River Medical Center Inc (Little River, SC) and Southeastern Hospitalist Services PC (Myrtle Beach, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Camisa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Camisa accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Jerry Camisa 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 Jerry Camisa affiliated with any hospitals?

According to CMS data, Jerry Camisa is affiliated with Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Jerry Camisa was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.