MRS. JACQUELYN M PRUITT NP-C
NPI 1780154740
Nurse Practitioner - Family in Seneca, SC

Q: What is Jacquelyn Pruitt's NPI number?

The NPI number for Jacquelyn Pruitt is 1780154740. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Q: What is Jacquelyn Pruitt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Pruitt was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 03, 2018PECOS EnrolledAccepts Medicare Assignment

772 N TOWNVILLE ST, SENECA, SC 29678(864) 886-9300(864) 886-9399 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2021, Jan 7, 2019, Dec 3, 2018 (3 updates tracked since 2018).

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About Mrs. Jacquelyn M Pruitt Np-c NPPES

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

MRS. JACQUELYN M PRUITT NP-C (NPI 1780154740) is an individual family provider in Seneca, South Carolina, licensed in South Carolina (22107) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and maintains a secondary practice location in Westminster.

NPPES Registry Identity

NPI1780154740

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JACQUELYN M PRUITTCredential: NP-C

Location Address772 N TOWNVILLE STSeneca, SC 29678-2645

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 886-9300

Fax(864) 886-9399

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 3, 2018

Last NPPES UpdateJune 30, 20213 updates tracked since enumeration

NPPES CertifiedJune 30, 2021

✔ NPI 1780154740 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 · 22107

772 N TOWNVILLE ST, Seneca, SC 29678

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Secondary Practice Location 1

Location 1211 Charda DrWestminster, SC 29693-2939 · Phone (864) 723-3554

Other Identifiers 1

MedicaidNP5689SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.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

Mrs. Jacquelyn M Pruitt Np-c 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 ID7517205503

PECOS Enrollment IDI20190218001626

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

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.

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.

76 services71 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420009

Location298 Memorial DrSeneca, SC 29672 · Oconee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29678 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.

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.

HENRIETTA OKONKWOR

Nurse Practitioner (Primary Care)