JACKQUELINE BALLENTINE SIMS FNP
NPI 1275866840
Nurse Practitioner - Psychiatric/Mental Health in Greenwood, SC
About Jackqueline Ballentine Sims Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKQUELINE BALLENTINE SIMS FNP (NPI 1275866840) is an individual psychiatric/mental health provider in Greenwood, South Carolina, licensed in South Carolina (3980) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted 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
Jackqueline Ballentine Sims 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.
Medicare Billing Reassignment
Medicare enrollment records show Jackqueline Sims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenwood, SC 29646
- Reassigned Medicare billing, South Carolina enrollment
- 236 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREENWOOD, SC 29646
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 Jackqueline Sims's NPI number?
The NPI number for Jackqueline Sims is 1275866840. It was assigned to this individual provider in the NPPES registry on September 14, 2009.
Where is Jackqueline Sims located?
Jackqueline Sims practices at 1547 Parkway, Greenwood, SC 29646. The listed phone number is (864) 229-7120.
What is Jackqueline Sims's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jackqueline Sims enrolled in Medicare?
Yes. Jackqueline Sims 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 organization bills Medicare for Jackqueline Sims's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackqueline Sims reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Greenwood, SC). The 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 Jackqueline Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jackqueline Sims accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Jackqueline Sims 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.
When was this NPI record last updated?
The NPPES record for Jackqueline Sims was last updated on February 10, 2026. 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.
# Jackqueline Ballentine Sims, FNP · NPI 1275866840
Psychiatric/Mental Health physician in Greenwood, South Carolina. Individual provider, active in the CMS NPPES registry since September 14, 2009.
## Identity
- **NPI:** 1275866840 (Entity type: Individual)
- **Enumerated:** September 14, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 3980 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1547 PARKWAY, Greenwood, SC 29646-4081
- **Phone:** (864) 229-7120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Carolina Dept Of Mental Health Accounting Office (NPI 1124135009, Greenwood, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 10, 2026
- **Other identifiers:** Medicaid 421504 (SC); Other 3335 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1275866840) · Data from the CMS NPPES public registry.