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JESSICA BRUBECK NP
NPI 1467904912
Nurse Practitioner in Kershaw, SC

Active since November 01, 2016PECOS Enrolled
505 WOODLAND DR, KERSHAW, SC 29067(843) 680-1342 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2021, Sep 19, 2019, Sep 3, 2019 and 23 more (26 updates tracked since 2016).

About Jessica Brubeck Np NPPES

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

JESSICA BRUBECK NP (NPI 1467904912) is an individual nurse practitioner in Kershaw, South Carolina, licensed in South Carolina (20505) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467904912
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA BRUBECKCredential: NP
Location Address505 WOODLAND DRKershaw, SC 29067-1704
Mailing Address505 Woodland DrKershaw, SC 29067-1704 · (843) 680-1342
Phone(843) 680-1342
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 1, 2016
Last NPPES UpdateSeptember 27, 202126 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1467904912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 20505
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
505 WOODLAND DR, Kershaw, SC 29067
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Other Identifiers 1

MedicaidNP4244SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Brubeck Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244511087
PECOS Enrollment IDI20170110000904
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29067 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.

LYNZI RENA BRANHAM APRN
Nurse Practitioner (Family)
505 WOODLAND DR
KERSHAW, SC 29067
Lancaster County (803) 784-4429
CAROLINA BEHAVIORAL HEALTHCARE LLC
Nurse Practitioner (Acute Care)
505 WOODLAND DR
KERSHAW, SC 29067
Lancaster County (803) 283-7465

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 Jessica Brubeck's NPI number?

The NPI number for Jessica Brubeck is 1467904912. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Where is Jessica Brubeck located?

Jessica Brubeck practices at 505 Woodland Dr, Kershaw, SC 29067. The listed phone number is (843) 680-1342.

What is Jessica Brubeck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessica Brubeck enrolled in Medicare?

Yes. Jessica Brubeck is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Brubeck accept?

Health plans from UnitedHealthcare list Jessica Brubeck 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 Jessica Brubeck was last updated on September 27, 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.