JACQUELYN SUZETTE AMMONS ACNP
NPI 1669965810
Nurse Practitioner - Acute Care in Charleston, SC

Q: What is Jacquelyn Ammons's NPI number?

The NPI number for Jacquelyn Ammons is 1669965810. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Q: What is Jacquelyn Ammons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Ammons was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since June 12, 2018PECOS EnrolledAccepts Medicare Assignment

9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406(843) 847-4876 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Oct 1, 2018, Jun 12, 2018 (3 updates tracked since 2018).

On this page

About Jacquelyn Suzette Ammons Acnp NPPES

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

JACQUELYN SUZETTE AMMONS ACNP (NPI 1669965810) is an individual acute care provider in Charleston, South Carolina, licensed in South Carolina (21768) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Roper St Francis Hospital-berkeley Inc, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1669965810

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJACQUELYN SUZETTE AMMONSCredential: ACNP

Location Address9330 MEDICAL PLAZA DRCharleston, SC 29406-9104

Mailing Address9330 Medical Plaza DrNorth Charleston, SC 29406-9104 · (843) 847-4882

Phone(843) 847-4876

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2017

Enumeration DateJune 12, 2018

Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1669965810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in SC · 21768

9330 MEDICAL PLAZA DR, Charleston, SC 29406

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Secondary Practice Location 1

Location 1316 Calhoun StCharleston, SC 29401-1113 · Phone (843) 724-2450 · Fax (843) 724-2455

Other Identifiers 1

Other1720210586Icc Healthcare Llc

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

Jacquelyn Suzette Ammons Acnp 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 ID5698029098

PECOS Enrollment IDI20181126000032

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.

Hospital Affiliations CMS Care Compare

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

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420110

Location300 Callen BlvdSummerville, SC 29486 · Dorchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%44 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MR. RICHARD DALE BRINSON MSN, APRN, NP-C

Nurse Practitioner (Acute Care)

9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406

Charleston County (843) 847-4595

DR. DARRYL EDWARD MCFARLAND MD

Internal Medicine (Critical Care Medicine)

9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406

Charleston County (843) 797-7000

ROSSEN IVANOV KIRKOV MD

Emergency Medicine

9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406

Charleston County (843) 797-7000

MORGAN ELISABETH HUNT

Student in an Organized Health Care Education/Training Program

9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406

Charleston County (843) 797-7000

DR. ALLISON LUNDY MCCRAE MD

Surgery

9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406

Charleston County (843) 797-7000

DR. SARAH CARTER PT, DPT

Physical Therapist

9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406

Charleston County (843) 797-7000

DR. VINCENT PAUL GRZYWACZ II MD

Radiology (Radiation Oncology)

9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406

Charleston County (843) 847-4571

MISBHA ANJUM MD

Student in an Organized Health Care Education/Training Program

9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406

Charleston County (843) 847-5620

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 Jacquelyn Ammons's NPI number?

The NPI number for Jacquelyn Ammons is 1669965810. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Jacquelyn Ammons located?

Jacquelyn Ammons practices at 9330 Medical Plaza Dr, Charleston, SC 29406. The listed phone number is (843) 847-4876.

What is Jacquelyn Ammons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jacquelyn Ammons enrolled in Medicare?

Yes. Jacquelyn Ammons 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.

Is Jacquelyn Ammons affiliated with any hospitals?

According to CMS data, Jacquelyn Ammons is affiliated with Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Jacquelyn Ammons was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.