JACKIE P. STAFFORD DNP
NPI 1609150622
Nurse Practitioner - Adult Health in Cheraw, SC

Active since October 10, 2011PECOS EnrolledAccepts Medicare Assignment
710 CHESTERFIELD HWY, CHERAW, SC 29520(843) 537-2171(843) 537-5926 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2021, Feb 28, 2017 (2 updates tracked since 2017).

About Jackie P. Stafford Dnp NPPES

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

JACKIE P. STAFFORD DNP (NPI 1609150622) is an individual adult health provider in Cheraw, South Carolina, licensed in South Carolina (17625) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Medical University Of South Carolina College Of Medicine (2011).

NPPES Registry Identity

NPI1609150622
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACKIE P. STAFFORDCredential: DNP
Location Address710 CHESTERFIELD HWYCheraw, SC 29520-7001
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 777-7098 · Fax (843) 777-7102
Fax(843) 537-5926
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2011
Enumeration DateOctober 10, 2011
Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1609150622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in SC · 17625
710 CHESTERFIELD HWY, Cheraw, SC 29520

Other Identifiers 1

MedicaidNP1947SC

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 and accepts Medicare assignment

Jackie P. Stafford Dnp 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 ID6800062415
PECOS Enrollment IDI20120104000007
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 20

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
552 services257 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
411 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
338 services171 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
192 services73 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
183 services90 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
98 services62 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Mcleod Health Cheraw

Acute Care Hospitals · Cheraw, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420107
Location711 Chesterfield HighwayCheraw, SC 29520 · Chesterfield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29520 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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers37 claims74 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims17 services$1.00 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers16 claims348 services$5.66 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers18 claims33 services$23.95 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers11 claims11 services$67.60 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$23.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
710 CHESTERFIELD HWY
CHERAW, SC 29520
Nurse Practitioner (Family)
710 CHESTERFIELD HWY
CHERAW, SC 29520
Family Medicine
710 CHESTERFIELD HWY
CHERAW, SC 29520
Orthopaedic Surgery
710 CHESTERFIELD HWY
CHERAW, SC 29520
Family Medicine
710 CHESTERFIELD HWY
CHERAW, SC 29520
Family Medicine
710 CHESTERFIELD HWY
CHERAW, SC 29520
Family Medicine
710 CHESTERFIELD HWY
CHERAW, SC 29520
Family Medicine
710 CHESTERFIELD HWY
CHERAW, SC 29520

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 Jackie Stafford's NPI number?

The NPI number for Jackie Stafford is 1609150622. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Where is Jackie Stafford located?

Jackie Stafford practices at 710 Chesterfield Hwy, Cheraw, SC 29520. The listed phone number is (843) 537-2171.

What is Jackie Stafford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jackie Stafford enrolled in Medicare?

Yes. Jackie Stafford 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 Jackie Stafford accept?

Health plans from BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare list Jackie Stafford 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.

Is Jackie Stafford affiliated with any hospitals?

According to CMS data, Jackie Stafford is affiliated with Mcleod Regional Medical Center-Pee Dee and Mcleod Health Cheraw.

When was this NPI record last updated?

The NPPES record for Jackie Stafford was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.