CHANELLE JACKSON APRN
NPI 1629510862
Nurse Practitioner - Family in Columbia, SC

Active since November 04, 2016PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
229 LONGTOWN RD, COLUMBIA, SC 29229(803) 419-4949 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2023, Mar 31, 2023, Mar 23, 2023 and 2 more (5 updates tracked since 2016).

About Chanelle Jackson Aprn NPPES

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

CHANELLE JACKSON APRN (NPI 1629510862) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (20603) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1629510862
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHANELLE JACKSONCredential: APRN
Location Address229 LONGTOWN RDColumbia, SC 29229-8550
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 935-8292
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 4, 2016
Last NPPES UpdateJanuary 12, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
NPI 1629510862 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 · 20603
229 LONGTOWN RD, Columbia, SC 29229

Secondary Practice Location 1

Location 14310 Hard Scrabble RdColumbia, SC 29229-9423 · Phone (866) 389-2727

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

Chanelle Jackson Aprn 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 ID5496031569
PECOS Enrollment IDI20170405000041
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 9

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
151 services89 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.
129 services88 patients
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.
86 services66 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 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.
27 services25 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29229 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.

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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Other Providers at the Same Location NPPES 7

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

Family Medicine
229 LONGTOWN RD
COLUMBIA, SC 29229
Family Medicine
229 LONGTOWN RD
COLUMBIA, SC 29229
Clinic/Center (Medical Specialty)
229 LONGTOWN RD
COLUMBIA, SC 29229
Family Medicine
229 LONGTOWN RD
COLUMBIA, SC 29229
Family Medicine
229 LONGTOWN RD
COLUMBIA, SC 29229
Family Medicine
229 LONGTOWN RD
COLUMBIA, SC 29229
Family Medicine
229 LONGTOWN RD
COLUMBIA, SC 29229

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 Chanelle Jackson's NPI number?

The NPI number for Chanelle Jackson is 1629510862. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Where is Chanelle Jackson located?

Chanelle Jackson practices at 229 Longtown Rd, Columbia, SC 29229. The listed phone number is (803) 419-4949.

What is Chanelle Jackson's specialty?

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

Is Chanelle Jackson enrolled in Medicare?

Yes. Chanelle Jackson 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 Chanelle Jackson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Chanelle Jackson 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 Chanelle Jackson affiliated with any hospitals?

According to CMS data, Chanelle Jackson is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Chanelle Jackson was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.