JADE PACK
NPI 1497698096
Nurse Practitioner - Family in Mount Pleasant, SC
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jade Pack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Simpsonville, SC 29680
- Reassigned Medicare billing, South Carolina enrollment
- 176 clinicians in this Medicare group
Simpsonville, SC 29680
- Reassigned Medicare billing, South Carolina enrollment
- 112 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT PLEASANT, SC 29464
MOUNT PLEASANT, SC 29464
MOUNT PLEASANT, SC 29464
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.
Which organizations bill Medicare for Jade Pack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jade Pack reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic South Carolina LLC (Simpsonville, SC) and Minuteclinic Primary Care South Carolina LLC (Simpsonville, 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 Jade Pack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Jade Pack · NPI 1497698096
Family physician in Mount Pleasant, South Carolina. Individual provider, active in the CMS NPPES registry since April 10, 2026.
## Identity
- **NPI:** 1497698096 (Entity type: Individual)
- **Enumerated:** April 10, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 31576 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1676 N HIGHWAY 17, Mount Pleasant, SC 29464-3310
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Diagnostic South Carolina LLC (NPI 1447420815, Simpsonville, SC); Minuteclinic Primary Care South Carolina LLC (NPI 1548070071, Simpsonville, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1497698096) · Data from the CMS NPPES public registry.