CONNOR MICHAEL JANSEN PA-C
NPI 1245051812
Physician Assistant in Myrtle Beach, SC

Q: What is Connor Jansen's NPI number?

The NPI number for Connor Jansen is 1245051812. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Q: What is Connor Jansen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Connor Jansen was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 17, 2024PECOS EnrolledAccepts Medicare Assignment

210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579(843) 353-3460(843) 353-3461 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Connor Michael Jansen Pa-c NPPES

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

CONNOR MICHAEL JANSEN PA-C (NPI 1245051812) is an individual physician assistant in Myrtle Beach, South Carolina, licensed in South Carolina (6030) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with Grand Strand Regional Medical Center, and maintains a secondary practice location in North Myrtle Beach.

NPPES Registry Identity

NPI1245051812

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCONNOR MICHAEL JANSENCredential: PA-C

Location Address210 VILLAGE CENTER BLVD STE 200Myrtle Beach, SC 29579-6706

Mailing Address210 Village Center Blvd Ste 140Myrtle Beach, SC 29579-6706 · (843) 353-3460 · Fax (843) 353-3461

Phone(843) 353-3460

Fax(843) 353-3461

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2024

Enumeration DateOctober 17, 2024

Last NPPES UpdateNovember 14, 2025

NPPES CertifiedNovember 14, 2025

✔ NPI 1245051812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in SC · 6030✔ Licensed in IN · 10004566A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

210 VILLAGE CENTER BLVD STE 200, Myrtle Beach, SC 29579

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Secondary Practice Location 1

Location 11621 Highway 17 NNorth Myrtle Beach, SC 29582-2229 · Phone (843) 353-3460 · Fax (843) 353-3461

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Connor Michael Jansen Pa-c 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 ID9234663881

PECOS Enrollment IDI20241105003710, I20251121000604

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.

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry 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 29579 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

$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 20

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

PHILIP HILL PT

Physical Therapist