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JAELLENE NAWEHIUILANI JELLICO FNP
NPI 1861372302
Nurse Practitioner - Family in Mount Pleasant, SC

Active since September 04, 2025PECOS EnrolledAccepts Medicare Assignment
897 VON KOLNITZ RD STE 101, MOUNT PLEASANT, SC 29464(843) 534-1770(877) 453-3943 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jaellene Nawehiuilani Jellico Fnp NPPES

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

JAELLENE NAWEHIUILANI JELLICO FNP (NPI 1861372302) is an individual family provider in Mount Pleasant, South Carolina, licensed in South Carolina (31642) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861372302
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAELLENE NAWEHIUILANI JELLICOCredential: FNP
Location Address897 VON KOLNITZ RD STE 101Mount Pleasant, SC 29464-3630
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (888) 472-0043 · Fax (843) 724-2440
Phone(843) 534-1770
Fax(877) 453-3943
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 4, 2025
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1861372302 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 · 31642
897 VON KOLNITZ RD STE 101, Mount Pleasant, SC 29464
Open in Google Maps ↗

Other Names 1

Former Name (1)Jaellene Nawehiuilani Carson

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

Jaellene Nawehiuilani Jellico Fnp 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 ID547732604
PECOS Enrollment IDI20260619000264
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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 9

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

AMANDA BERGDORF PYRDA APRN
Nurse Practitioner (Family)
897 VON KOLNITZ RD STE 101
MT PLEASANT, SC 29464
Charleston County (843) 534-1770
DR. MICHAEL EUGENE FIELD MD
Internal Medicine (Clinical Cardiac Electrophysiology)
897 VON KOLNITZ RD STE 101
MOUNT PLEASANT, SC 29464
Charleston County (843) 534-1770
MRS. ALEXANDRA ELISE HASELEY FNP
Nurse Practitioner (Family)
897 VON KOLNITZ RD STE 101
MOUNT PLEASANT, SC 29464
Charleston County (843) 534-1770
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine (Clinical Cardiac Electrophysiology)
897 VON KOLNITZ RD STE 101
MT PLEASANT, SC 29464
Charleston County (843) 534-1770
OLIVIA MALDONADO COVERT FNP-C
Nurse Practitioner (Family)
897 VON KOLNITZ RD STE 101
MT PLEASANT, SC 29464
Charleston County (843) 534-1770
CONNOR PATRICK RYAN OATES
Internal Medicine (Cardiovascular Disease)
897 VON KOLNITZ RD STE 101
MOUNT PLEASANT, SC 29464
Charleston County (843) 534-1770
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine (Cardiovascular Disease)
897 VON KOLNITZ RD STE 101
MT PLEASANT, SC 29464
Charleston County (843) 723-6111
BRETT M BAKER M.D.FACC
Internal Medicine (Clinical Cardiac Electrophysiology)
897 VON KOLNITZ RD STE 101
MT PLEASANT, SC 29464
Charleston County (843) 534-1770

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 Jaellene Jellico's NPI number?

The NPI number for Jaellene Jellico is 1861372302. It was assigned to this individual provider in the NPPES registry on September 4, 2025. The provider is also known as Jaellene Nawehiuilani Carson.

Where is Jaellene Jellico located?

Jaellene Jellico practices at 897 Von Kolnitz Rd Ste 101, Mount Pleasant, SC 29464. The listed phone number is (843) 534-1770.

What is Jaellene Jellico's specialty?

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

Is Jaellene Jellico enrolled in Medicare?

Yes. Jaellene Jellico 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.

When was this NPI record last updated?

The NPPES record for Jaellene Jellico was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.