JADE PACK
NPI 1497698096
Nurse Practitioner - Family in Mount Pleasant, SC

Q: What is Jade Pack's NPI number?

The NPI number for Jade Pack is 1497698096. It was assigned to this individual provider in the NPPES registry on April 10, 2026.

Q: What is Jade Pack'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 Jade Pack was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 10, 2026PECOS EnrolledAccepts Medicare Assignment

1676 N HIGHWAY 17, MOUNT PLEASANT, SC 29464(866) 389-2727 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jade Pack NPPES

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

JADE PACK (NPI 1497698096) is an individual family provider in Mount Pleasant, South Carolina, licensed in South Carolina (31576) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1497698096

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJADE PACK

Location Address1676 N HIGHWAY 17Mount Pleasant, SC 29464-3310

Mailing Address1676 N Highway 17Mount Pleasant, SC 29464-3310

Phone(866) 389-2727

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateApril 10, 2026

NPPES CertifiedApril 10, 2026

✔ NPI 1497698096 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 · 31576

1676 N HIGHWAY 17, Mount Pleasant, SC 29464

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jade Pack 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.

PECOS PAC ID6305316621

PECOS Enrollment IDI20260528001609

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 29464 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.

Leave this field empty

Other Providers at the Same Location NPPES 14

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

TAYLOR MARIE SUYDAM PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1676 N HIGHWAY 17
MOUNT PLEASANT, SC 29464

Charleston County (843) 884-8281

DR. JOSEPH C VALLONE PHARMD

Pharmacist

1676 N HIGHWAY 17
MOUNT PLEASANT, SC 29464

Charleston County (843) 884-8281

SOUTH CAROLINA CVS PHARMACY LLC

Pharmacy

1676 N HIGHWAY 17
MT PLEASANT, SC 29464

Charleston County (803) 884-8281

IRENE-MARGARETTE LOUIS SPANOS APRN

Nurse Practitioner (Family)

1676 N HIGHWAY 17
MOUNT PLEASANT, SC 29464

Charleston County (860) 941-5976

JILLIAN PAYNE

Pharmacist

1676 N HIGHWAY 17
MT PLEASANT, SC 29464

Charleston County (843) 884-8281

CHRISTAN BLATCHFORD FNP-C

Nurse Practitioner (Family)

1676 N HIGHWAY 17
MOUNT PLEASANT, SC 29464

Charleston County (866) 389-2727

DR. TRAVIS LEMON PHARM.D.

Pharmacist

1676 N HIGHWAY 17
MT PLEASANT, SC 29464

Charleston County (843) 884-8281

CVS PHARMACY

Pharmacist

1676 N HIGHWAY 17
MOUNT PLEASANT, SC 29464

Charleston County (843) 884-8281

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 Jade Pack's NPI number?

The NPI number for Jade Pack is 1497698096. It was assigned to this individual provider in the NPPES registry on April 10, 2026.

Where is Jade Pack located?

Jade Pack practices at 1676 N Highway 17, Mount Pleasant, SC 29464. The listed phone number is (866) 389-2727.

What is Jade Pack's specialty?

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

Is Jade Pack enrolled in Medicare?

Yes. Jade Pack 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.

When was this NPI record last updated?

The NPPES record for Jade Pack was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.