MADINA SANTIAGO JUCABAN FNP-C
NPI 1417553116
Nurse Practitioner - Family in West Columbia, SC

Q: What is Madina Jucaban's NPI number?

The NPI number for Madina Jucaban is 1417553116. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Q: What is Madina Jucaban's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madina Jucaban was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 08, 2020PECOS Enrolled

146 E HOSPITAL DR STE 140, WEST COLUMBIA, SC 29169(803) 791-2203 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2025, Sep 18, 2024, Apr 26, 2024 and 2 more (5 updates tracked since 2020).

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About Madina Santiago Jucaban Fnp-c NPPES

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

MADINA SANTIAGO JUCABAN FNP-C (NPI 1417553116) is an individual family provider in West Columbia, South Carolina, licensed in South Carolina (24397) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417553116

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMADINA SANTIAGO JUCABANCredential: FNP-C

Location Address146 E HOSPITAL DR STE 140West Columbia, SC 29169-4800

Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 791-2203

Phone(803) 791-2203

Sole ProprietorYes

Enumeration DateDecember 8, 2020

Last NPPES UpdateMarch 17, 20255 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1417553116 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 · 24397

146 E HOSPITAL DR STE 140, West Columbia, SC 29169

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Secondary Practice Locations 3

Location 1443 Running Fox Rd WColumbia, SC 29223-2918 · Phone (803) 446-1823

Location 23 Richland Medical Park Dr Ste 310Columbia, SC 29203-6862 · Phone (803) 434-8323 · Fax (803) 434-8326

Location 34500 8th Division RdColumbia, SC 29207-5700 · Phone (803) 751-2935

Other Identifiers 1

MedicaidNP7673SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madina Santiago Jucaban Fnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Madina Jucaban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lexington Health Inc

Same address

Urogynecology and Reconstructive Pelvic Surgery

146 E HOSPITAL DR STE 530
West Columbia, SC 29169

Reassigned Medicare billing, South Carolina enrollment
1,219 clinicians in this Medicare group

NPI 1568181717 (803) 314-9740

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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 9

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

SHELCEY HUSSEY FNP-BC

Nurse Practitioner