MRS. MARY JILL HAYNIE CLEARY ANP
NPI 1902002900
Nurse Practitioner - Adult Health in North Charleston, SC
About Mrs. Mary Jill Haynie Cleary Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY JILL HAYNIE CLEARY ANP (NPI 1902002900) is an individual adult health provider in North Charleston, South Carolina, licensed in South Carolina (APN2085) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in North Charleston.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Mary Jill Haynie Cleary Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Jill Haynie Cleary reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
North Charleston, SC 29406
- Reassigned Medicare billing, South Carolina enrollment
- Also billed through NPI 1235595422 (South Carolina)
- 33 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.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
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 Mary Jill Haynie Cleary's NPI number?
The NPI number for Mary Jill Haynie Cleary is 1902002900. It was assigned to this individual provider in the NPPES registry on June 26, 2007. The provider is also known as Jill H Cleary Anp.
Where is Mary Jill Haynie Cleary located?
Mary Jill Haynie Cleary practices at 8992 University Blvd, North Charleston, SC 29406. The listed phone number is (843) 876-6555.
What is Mary Jill Haynie Cleary's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Mary Jill Haynie Cleary enrolled in Medicare?
Yes. Mary Jill Haynie Cleary is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Jill Haynie Cleary's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jill Haynie Cleary reassigns Medicare benefits to Carolina Family Care Inc (North Charleston, SC). The 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 Mary Jill Haynie Cleary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Jill Haynie Cleary was last updated on February 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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. Mary Jill Haynie Cleary, ANP · NPI 1902002900
Adult Health physician in North Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since June 26, 2007.
## Identity
- **NPI:** 1902002900 (Entity type: Individual)
- **Enumerated:** June 26, 2007
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APN2085 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 8992 UNIVERSITY BLVD, North Charleston, SC 29406-8104
- **Phone:** (843) 876-6555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carolina Family Care Inc (NPI 1194152272, North Charleston, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2018
- **Other identifiers:** Other AA05637189 (SC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1902002900) · Data from the CMS NPPES public registry.