MRS. JUSTIN NICOLE KERNODLE PA-C
NPI 1477995470
Physician Assistant - Medical in Charleston, SC

Active since July 19, 2013PECOS Enrolled
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414(843) 402-1037(843) 402-1295 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 16, 2024, Nov 28, 2020 (2 updates tracked since 2020).

About Mrs. Justin Nicole Kernodle Pa-c NPPES

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

MRS. JUSTIN NICOLE KERNODLE PA-C (NPI 1477995470) is an individual medical provider in Charleston, South Carolina, licensed in South Carolina (1941) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477995470
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JUSTIN NICOLE KERNODLECredential: PA-C
Location Address2095 HENRY TECKLENBURG DRCharleston, SC 29414-5733
Mailing AddressPo Box 602645Charlotte, NC 28260-2645 · (843) 789-1620 · Fax (843) 724-2454
Fax(843) 402-1295
Sole ProprietorNo
Enumeration DateJuly 19, 2013
Last NPPES UpdateApril 16, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1477995470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in SC · 1941 Licensed in SC · TL1941
2095 HENRY TECKLENBURG DR, Charleston, SC 29414

Other Names 1

Professional Name (2)Miss Justin Nicole Kernodle

Other Identifiers 1

Medicaid2123PASC

Accepted 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)

Mrs. Justin Nicole Kernodle Pa-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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
126 services126 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
64 services62 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services18 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

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.

Internal Medicine (Pulmonary Disease)
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Anesthesiology
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Nurse Anesthetist, Certified Registered
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Anesthesiology
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Nurse Anesthetist, Certified Registered
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Anesthesiology
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Nurse Anesthetist, Certified Registered
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Emergency Medicine
2095 HENRY TECKLENBURG DR
CHARLESTON, SC 29414

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 Justin Kernodle's NPI number?

The NPI number for Justin Kernodle is 1477995470. It was assigned to this individual provider in the NPPES registry on July 19, 2013. The provider is also known as Miss Justin Nicole Kernodle.

Where is Justin Kernodle located?

Justin Kernodle practices at 2095 Henry Tecklenburg Dr, Charleston, SC 29414. The listed phone number is (843) 402-1037.

What is Justin Kernodle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Justin Kernodle enrolled in Medicare?

Yes. Justin Kernodle is registered in the Medicare PECOS enrollment system.

What insurance does Justin Kernodle accept?

Health plans from First Choice Next list Justin Kernodle 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 Justin Kernodle was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.