MRS. JESSICA L BALLOULI NP-C
NPI 1689236465
Nurse Practitioner - Family in Columbia, SC
About Mrs. Jessica L Ballouli Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA L BALLOULI NP-C (NPI 1689236465) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (22973) and active in the NPI registry since July 2019. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Columbia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Jessica L Ballouli Np-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29212 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29212
COLUMBIA, SC 29212
COLUMBIA, SC 29212
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 Jessica Ballouli's NPI number?
The NPI number for Jessica Ballouli is 1689236465. It was assigned to this individual provider in the NPPES registry on July 2, 2019.
Where is Jessica Ballouli located?
Jessica Ballouli practices at 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212. The listed phone number is (803) 907-7700.
What is Jessica Ballouli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Ballouli enrolled in Medicare?
No. Jessica Ballouli has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jessica Ballouli was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Jessica L Ballouli, NP-C · NPI 1689236465
Family physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since July 2, 2019.
## Identity
- **NPI:** 1689236465 (Entity type: Individual)
- **Enumerated:** July 2, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 22973 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PALMETTO HEALTH PKWY STE 300, Columbia, SC 29212-1763
- **Phone:** (803) 907-7700 · **Fax:** (803) 907-7309
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** September 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1689236465) · Data from the CMS NPPES public registry.