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JESSIE PERNELL GOETHIE DNP, APRN, FNP-C
NPI 1982100285
Nurse Practitioner in Port Royal, SC

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
1680 RIBAUT RD, PORT ROYAL, SC 29935(843) 522-7190(843) 379-9686 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2024, Sep 24, 2020 (2 updates tracked since 2020).

About Jessie Pernell Goethie Dnp, Aprn, Fnp-c NPPES

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

JESSIE PERNELL GOETHIE DNP, APRN, FNP-C (NPI 1982100285) is an individual nurse practitioner in Port Royal, South Carolina, licensed in South Carolina (21756) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Beaufort County Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982100285
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSIE PERNELL GOETHIECredential: DNP, APRN, FNP-C
Location Address1680 RIBAUT RDPort Royal, SC 29935-2008
Mailing Address1680 Ribaut RdPort Royal, SC 29935-2008 · (843) 522-7193 · Fax (843) 379-9686
Phone(843) 522-7190
Fax(843) 379-9686
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 4, 2018
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1982100285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 21756
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1680 RIBAUT RD, Port Royal, SC 29935
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Jessie Pernell Goethie Dnp, Aprn, Fnp-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 ID4082961057
PECOS Enrollment IDI20180723000026
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessie Goethie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaufort County Memorial Hospital
Same address
Orthopaedic Surgery
1680 RIBAUT RD
Port Royal, SC 29935
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1235430745 (South Carolina)
  • 113 clinicians in this Medicare group
NPI 1053647164 (843) 524-3015
Beaufort Jasper Hampton Comprehensive Health Services, Inc.
11 mi
Federally Qualified Health Center (FQHC)
719 N OKATIE HWY
Ridgeland, SC 29936
  • Reassigned Medicare billing, South Carolina enrollment
  • 98 clinicians in this Medicare group
NPI 1649276148 (843) 987-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29935 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 7

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

BEAUFORT COUNTY MEMORIAL HOSPITAL
Orthopaedic Surgery
1680 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 524-3015
DR. VANDIT SARDANA M.SC., MD, FRCSC
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1680 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 524-3015
DR. ERIC WALTERS NELSON DABR, PHD
Radiology (Radiological Physics)
1680 RIBAUT RD, SUITEE A
PORT ROYAL, SC 29935
Beaufort County (843) 441-0487
KARA RAYE WHITE
Physician Assistant
1680 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 524-3015
JAMES F. MCNAB MD LLC
Radiology (Radiation Oncology)
1680 RIBAUT RD, STE A
PORT ROYAL, SC 29935
Beaufort County (843) 522-7800
RICHARD H FITZGERALD M.D.
Specialist
1680 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 522-7800
MARK ALLEN BECHTEL D.O.
Family Medicine
1680 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 524-3344

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 Jessie Goethie's NPI number?

The NPI number for Jessie Goethie is 1982100285. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Jessie Goethie located?

Jessie Goethie practices at 1680 Ribaut Rd, Port Royal, SC 29935. The listed phone number is (843) 522-7190.

What is Jessie Goethie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessie Goethie enrolled in Medicare?

Yes. Jessie Goethie 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 Jessie Goethie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Goethie reassigns Medicare benefits to 2 organizations: Beaufort County Memorial Hospital (Port Royal, SC) and Beaufort Jasper Hampton Comprehensive Health Services, Inc. (Ridgeland, 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 Jessie Goethie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessie Goethie accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Jessie Goethie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jessie Goethie affiliated with any hospitals?

According to CMS data, Jessie Goethie is affiliated with Beaufort County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jessie Goethie was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.