NICOLE JONES M.D.
NPI 1619397619
Plastic Surgery in Columbia, SC
About Nicole Jones M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE JONES M.D. (NPI 1619397619) is an individual plastic surgery provider in Columbia, South Carolina, licensed in South Carolina (85654) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in West Columbia.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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
Nicole Jones M.d. 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 Nicole Jones reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blythewood, SC 29016
- Reassigned Medicare billing, South Carolina enrollment
- 1,219 clinicians in this Medicare group
Columbia, SC 29212
- Reassigned Medicare billing, South Carolina enrollment
- 1,466 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Richland Hospital
Acute Care Hospitals · Columbia, SCLexington Medical Center
Acute Care Hospitals · West Columbia, SCPrisma Health Baptist
Acute Care Hospitals · Columbia, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29203
COLUMBIA, SC 29203
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 Nicole Jones's NPI number?
The NPI number for Nicole Jones is 1619397619. It was assigned to this individual provider in the NPPES registry on April 17, 2014. The provider is also known as Nikki Mark Burish.
Where is Nicole Jones located?
Nicole Jones practices at 2 Medical Park Rd Ste 302, Columbia, SC 29203. The listed phone number is (803) 434-8820.
What is Nicole Jones's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Nicole Jones enrolled in Medicare?
Yes. Nicole Jones 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 Nicole Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Jones reassigns Medicare benefits to 2 organizations: Lexington Health Inc (Blythewood, SC) and Prisma Health Medical Group-Midlands (Columbia, 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 Nicole Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Jones accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Nicole Jones 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 Nicole Jones affiliated with any hospitals?
According to CMS data, Nicole Jones is affiliated with Prisma Health Richland Hospital, Lexington Medical Center and Prisma Health Baptist.
When was this NPI record last updated?
The NPPES record for Nicole Jones was last updated on May 7, 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.
# Nicole Jones, M.D. · NPI 1619397619
Plastic Surgery physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since April 17, 2014.
## Identity
- **NPI:** 1619397619 (Entity type: Individual)
- **Enumerated:** April 17, 2014
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 85654 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2 MEDICAL PARK RD STE 302, Columbia, SC 29203-6839
- **Phone:** (803) 434-8820 · **Fax:** (803) 254-0821
## 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): Lexington Health Inc (NPI 1043108970, Blythewood, SC); Prisma Health Medical Group-Midlands (NPI 1003307166, Columbia, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** May 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619397619) · Data from the CMS NPPES public registry.