JENNI LISA HACKENBERG
NPI 1235709395
Nurse Practitioner - Family in Summerville, SC

Active since June 30, 2021PECOS Enrolled
1709 OLD TROLLEY RD, SUMMERVILLE, SC 29485(843) 873-2225 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenni Lisa Hackenberg NPPES

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

JENNI LISA HACKENBERG (NPI 1235709395) is an individual family provider in Summerville, South Carolina, licensed in South Carolina (25116) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235709395
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNI LISA HACKENBERG
Location Address1709 OLD TROLLEY RDSummerville, SC 29485-8276
Mailing Address621 Van Buren DrSummerville, SC 29486-0405 · (803) 522-4570
Sole ProprietorNo
Enumeration DateJune 30, 2021
NPPES CertifiedJune 30, 2021
NPI 1235709395 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 · 25116
1709 OLD TROLLEY RD, Summerville, SC 29485

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jenni Lisa Hackenberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 10

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.

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
1,034 services84 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
600 services93 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
597 services92 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
507 services84 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
141 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29485 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 2

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

Chiropractor
1709 OLD TROLLEY RD
SUMMERVILLE, SC 29485
Clinic/Center (Multi-Specialty)
1709 OLD TROLLEY RD
SUMMERVILLE, SC 29485

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 Jenni Hackenberg's NPI number?

The NPI number for Jenni Hackenberg is 1235709395. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Jenni Hackenberg located?

Jenni Hackenberg practices at 1709 Old Trolley Rd, Summerville, SC 29485. The listed phone number is (843) 873-2225.

What is Jenni Hackenberg's specialty?

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

Is Jenni Hackenberg enrolled in Medicare?

Yes. Jenni Hackenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenni Hackenberg was last updated on June 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.