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JENNIFER JUNIOR
NPI 1629503594
Nurse Practitioner - Primary Care in Columbia, SC

Active since April 27, 2017PECOS Enrolled
2170 WALKER SOLOMON WAY, COLUMBIA, SC 29204(803) 600-8776 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Junior NPPES

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

JENNIFER JUNIOR (NPI 1629503594) is an individual primary care provider in Columbia, South Carolina, licensed in South Carolina (20945) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629503594
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJENNIFER JUNIOR
Location Address2170 WALKER SOLOMON WAYColumbia, SC 29204-1130
Mailing Address2170 Walker Solomon WayColumbia, SC 29204-1130
Phone(803) 600-8776
Sole ProprietorYes
Enumeration DateApril 27, 2017
✔ NPI 1629503594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in SC · 20945
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 20945 (SC)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 20945 (SC)
2170 WALKER SOLOMON WAY, Columbia, SC 29204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Junior is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Junior reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lexington Richland Alcohol & Drug Abuse Council, Inc.
0.7 mi
Rehabilitation, Substance Use Disorder
2711 COLONIAL DRIVE
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
NPI 1538153069 (803) 726-9301

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 29204 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.

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 Jennifer Junior's NPI number?

The NPI number for Jennifer Junior is 1629503594. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Jennifer Junior located?

Jennifer Junior practices at 2170 Walker Solomon Way, Columbia, SC 29204. The listed phone number is (803) 600-8776.

What is Jennifer Junior's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jennifer Junior enrolled in Medicare?

Yes. Jennifer Junior is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Junior's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Junior reassigns Medicare benefits to Lexington Richland Alcohol & Drug Abuse Council, Inc. (Columbia, SC). The 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 Jennifer Junior'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 Jennifer Junior was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.