JAELLENE NAWEHIUILANI JELLICO FNP
NPI 1861372302
Nurse Practitioner - Family in Mount Pleasant, SC
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, is affiliated with Roper Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jaellene Jellico reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mt Pleasant, SC 29464
- Reassigned Medicare billing, South Carolina enrollment
- 658 clinicians in this Medicare group
Charleston, SC 29401
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: Bon Secours St Francis Xavier Hospital Inc
- 129 clinicians in this Medicare group
Ladson, SC 29456
- Reassigned Medicare billing, South Carolina enrollment
- 296 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Roper Hospital
Acute Care Hospitals · Charleston, SCMount Pleasant Hospital
Acute Care Hospitals · Mount Pleasant, SCPhysician 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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MT PLEASANT, SC 29464
MOUNT PLEASANT, SC 29464
MT PLEASANT, SC 29464
MOUNT PLEASANT, SC 29464
MT PLEASANT, SC 29464
MT PLEASANT, SC 29464
MOUNT PLEASANT, SC 29464
MT PLEASANT, SC 29464
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.
Which organizations bill Medicare for Jaellene Jellico's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaellene Jellico reassigns Medicare benefits to 3 organizations: Roper Saint Francis Physicians Network (Mt Pleasant, SC), Bon Secours St. Francis Xavier Hosptial, Inc. (Charleston, SC) and Roper St. Francis Specialty Physicians (Ladson, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaellene Jellico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jaellene Jellico affiliated with any hospitals?
According to CMS data, Jaellene Jellico is affiliated with Roper Hospital and Mount Pleasant Hospital.
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 4 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.
# Jaellene Nawehiuilani Jellico, FNP · NPI 1861372302
Family physician in Mount Pleasant, South Carolina. Individual provider, active in the CMS NPPES registry since September 4, 2025.
## Identity
- **NPI:** 1861372302 (Entity type: Individual)
- **Enumerated:** September 4, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 31642 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 897 VON KOLNITZ RD STE 101, Mount Pleasant, SC 29464-3630
- **Phone:** (843) 534-1770 · **Fax:** (877) 453-3943
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Roper Saint Francis Physicians Network (NPI 1316421431, Mt Pleasant, SC); Bon Secours St. Francis Xavier Hosptial, Inc. (NPI 1114707197, Charleston, SC); Roper St. Francis Specialty Physicians (NPI 1528945912, Ladson, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861372302) · Data from the CMS NPPES public registry.