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JERRI NICOLE MASANOVICH NP
NPI 1366922866
Family Medicine in Lexington, SC

Active since August 15, 2018PECOS Enrolled
171B MONROE LN, LEXINGTON, SC 29072(803) 358-8496(866) 614-3887 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2021, Aug 15, 2018 (2 updates tracked since 2018).

About Jerri Nicole Masanovich Np NPPES

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

JERRI NICOLE MASANOVICH NP (NPI 1366922866) is an individual family medicine provider in Lexington, South Carolina, licensed in South Carolina (22146) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366922866
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJERRI NICOLE MASANOVICHCredential: NP
Location Address171B MONROE LNLexington, SC 29072-3904
Mailing Address1209 Lownsdale RdWest Columbia, SC 29170-3178 · (803) 920-6376
Phone(803) 358-8496
Fax(866) 614-3887
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 15, 2018
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1366922866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 22146
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
171B MONROE LN, Lexington, SC 29072
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerri Nicole Masanovich Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709138175
PECOS Enrollment IDI20181012000730
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

3

Medicare enrollment records show Jerri Masanovich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Health And Wellness Ltd Co.
7.5 mi
Geriatric Medicine
1 STILL HOPES DR
West Columbia, SC 29169
  • Reassigned Medicare billing, South Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1598311359 (803) 788-5916
Springwood Lake Primary Care, LLC
16 mi
Clinic/Center
1721 HORSESHOE DR
Columbia, SC 29223
  • Reassigned Medicare billing, South Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1841797081 (803) 626-0600
Orange Cut Rate Drug Store, Inc
38 mi
General Practice
1326 GROVE PARK DR
Orangeburg, SC 29115
  • Reassigned Medicare billing, South Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1306326640 (803) 536-0007

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

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier16 claims16 services$43.05 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers27 claims27 services$16.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MEDICAL SERVICES OF AMERICA INC
Durable Medical Equipment & Medical Supplies
171B MONROE LN
LEXINGTON, SC 29072
Lexington County (803) 358-6760
GATEWAY MEDICAL LLC
Family Medicine
171B MONROE LN
LEXINGTON, SC 29072
Lexington County (803) 358-8496

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 Jerri Masanovich's NPI number?

The NPI number for Jerri Masanovich is 1366922866. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Jerri Masanovich located?

Jerri Masanovich practices at 171B Monroe Ln, Lexington, SC 29072. The listed phone number is (803) 358-8496.

What is Jerri Masanovich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jerri Masanovich enrolled in Medicare?

Yes. Jerri Masanovich is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerri Masanovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerri Masanovich reassigns Medicare benefits to 3 organizations: Geriatric Health And Wellness Ltd Co. (West Columbia, SC), Springwood Lake Primary Care, LLC (Columbia, SC) and Orange Cut Rate Drug Store, Inc (Orangeburg, 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 Jerri Masanovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerri Masanovich accept?

Health plans from BlueCross BlueShield of South Carolina and Oscar Health Maintenance Organization of Florida list Jerri Masanovich 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 Jerri Masanovich affiliated with any hospitals?

According to CMS data, Jerri Masanovich is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Jerri Masanovich was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.