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JACQUELINE GABRIELLE WILES APRN, FNP-BC
NPI 1588211197
Nurse Practitioner - Family in Walhalla, SC

Active since August 20, 2019PECOS EnrolledAccepts Medicare Assignment
200 BOOKER DR, WALHALLA, SC 29691(864) 656-3076(843) 985-9562 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2025, Dec 13, 2023, Oct 8, 2021 and 4 more (7 updates tracked since 2019).

About Jacqueline Gabrielle Wiles Aprn, Fnp-bc NPPES

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

JACQUELINE GABRIELLE WILES APRN, FNP-BC (NPI 1588211197) is an individual family provider in Walhalla, South Carolina, licensed in South Carolina (23172) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1588211197
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE GABRIELLE WILESCredential: APRN, FNP-BC
Location Address200 BOOKER DRWalhalla, SC 29691-2278
Mailing Address200 Booker DrWalhalla, SC 29691-2278 · (864) 656-3076 · Fax (843) 985-9562
Phone(864) 656-3076
Fax(843) 985-9562
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 20, 2019
Last NPPES UpdateJune 18, 20257 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1588211197 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 · 23172
200 BOOKER DR, Walhalla, SC 29691
Open in Google Maps ↗

Other Identifiers 1

MedicaidNP6253SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

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

Jacqueline Gabrielle Wiles Aprn, Fnp-bc 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 ID4486086394
PECOS Enrollment IDI20191114002410
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 29691 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 8

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

CLEMSON UNIVERSITY
Nurse Practitioner (Family)
200 BOOKER DR
WALHALLA, SC 29691
Oconee County (864) 656-1969
MS. CHRISTINA DIANE SMITH FNP
Nurse Practitioner (Family)
200 BOOKER DR
WALHALLA, SC 29691
Oconee County (864) 656-3076
CLEMSON UNIVERSITY
Clinic/Center (Rural Health)
200 BOOKER DR
WALHALLA, SC 29691
Oconee County (864) 656-3076
MICHELLE MARIE DEEM FNP
Nurse Practitioner (Family)
200 BOOKER DR
WALHALLA, SC 29691
Oconee County (864) 656-3076
TIMOTHY AARON ZELLER MD
Family Medicine
200 BOOKER DR
WALHALLA, SC 29691
Oconee County (864) 656-3076
THOMAS C. KICKHAM D.O.
General Practice
200 BOOKER DR
WALHALLA, SC 29691
Oconee County (864) 656-3076
BROOKE ALLISON BRITTAIN MS, RD, LD, CHES
Dietitian, Registered
200 BOOKER DR
WALHALLA, SC 29691
Oconee County (864) 638-4279
ABIGAIL P MORNINGSTAR RD
Dietitian, Registered
200 BOOKER DR
WALHALLA, SC 29691
Oconee County (864) 656-3076

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 Jacqueline Wiles's NPI number?

The NPI number for Jacqueline Wiles is 1588211197. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Jacqueline Wiles located?

Jacqueline Wiles practices at 200 Booker Dr, Walhalla, SC 29691. The listed phone number is (864) 656-3076.

What is Jacqueline Wiles's specialty?

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

Is Jacqueline Wiles enrolled in Medicare?

Yes. Jacqueline Wiles 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.

What insurance does Jacqueline Wiles accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Jacqueline Wiles 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 Jacqueline Wiles was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.