KELLEY WALLACE JACOBS DNP/FNP
NPI 1952721672
Nurse Practitioner - Primary Care in Dillon, SC

Q: What is Kelley Jacobs's NPI number?

The NPI number for Kelley Jacobs is 1952721672. It was assigned to this individual provider in the NPPES registry on April 21, 2014. The provider is also known as Kelley Lynn Wallace Fnp.

Q: What is Kelley Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Jacobs was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 April 21, 2014PECOS EnrolledAccepts Medicare Assignment

91.46/100

CMS Quality Rating

705 N 8TH AVE STE 1A, DILLON, SC 29536(843) 774-2478(843) 774-1826 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelley Wallace Jacobs Dnp/fnp NPPES

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

KELLEY WALLACE JACOBS DNP/FNP (NPI 1952721672) is an individual primary care provider in Dillon, South Carolina, licensed in South Carolina (18972) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Mcleod Medical Center - Dillon, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1952721672

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameKELLEY WALLACE JACOBSCredential: DNP/FNP

Location Address705 N 8TH AVE STE 1ADillon, SC 29536-2549

Mailing Address705 N 8th Ave Ste 1aDillon, SC 29536-2549 · (843) 774-2478 · Fax (843) 774-1826

Phone(843) 774-2478

Fax(843) 774-1826

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 21, 2014

Last NPPES UpdateJuly 28, 2014

✔ NPI 1952721672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in SC · 18972

705 N 8TH AVE STE 1A, Dillon, SC 29536

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Other Names 1

Former Name (1)Kelley Lynn Wallace Fnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and more.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

Kelley Wallace Jacobs Dnp/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 ID1052532546

PECOS Enrollment IDI20141027001649

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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

119 services103 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

73 services72 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

35 services32 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

33 services31 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

27 services25 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

24 services22 patients

Hospital Affiliations CMS Care Compare

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

Mcleod Medical Center - Dillon

Acute Care Hospitals · Dillon, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420005

Location301 E Jackson Street PO Box 1327Dillon, SC 29536 · Dillon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29536 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.

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.

91.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.46

Promoting Interoperability

Improvement Activities

Cost

79.6

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.

MCLEOD PHYSICIAN ASSOCIATES II

Internal Medicine