Individual provider Active NPI

Jenny O'Neill, FNP-BC

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1003265380
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20170 Issued in SC
Practice address
2801 Devine St Ste 101
Columbia, SC 29205-2511
Phone
(803) 457-8125
Fax
(803) 457-8129
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20170 SC Primary

Addresses

Primary practice location

2801 Devine St Ste 101
Columbia, SC 29205-2511

Mailing address

2801 Devine St Ste 101
Columbia, SC 29205-2511
Phone (803) 457-8125

Other practice location 1

7182 Woodrow St Ste 103
Irmo, SC 29063-2958
Phone (843) 766-7103

Other practice location 2

3115 Sunset Blvd
West Columbia, SC 29169-3425
Phone (843) 766-7103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216001446 SC Practitioner - Nurse Practitioner 7719399716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston ENT Associates, LLCGroup PAC ID 4082662234, 77 clinicians

Practice addresses (Care Compare)

2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103

Merit-based Incentive Payment System (MIPS)

Final score
92.33 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston ENT Associates, LLC CurrentSince Nov 1, 2020 Accepting new patients
Charleston ENT Associates, LLC CurrentSince Nov 1, 2020 Accepting new patients
Charleston ENT Associates, LLC PastSince Sep 23, 2021 Accepting new patients

Locations

2295 Henry Tecklenburg Dr
Charleston, SC 29414

1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600

2801 Devine St
Ste 101
Columbia, SC 29205
Phone (803) 256-7076

200 Arbor Lake Dr
Ste 120
Columbia, SC 29223
Phone (803) 457-8120

7182 Woodrow St
Ste 103
Irmo, SC 29063
Phone (803) 781-2070

3115 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-3222

Interoperability endpoints

  • Direct secure messaging: jenny.oneill.p1@direct.entap.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1003265380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 DEVINE ST STE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052511",
            "telephone_number": "803-457-8125",
            "fax_number": "803-457-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DEVINE ST STE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052511",
            "telephone_number": "803-457-8125",
            "fax_number": "803-457-8129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7182 Woodrow St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632958",
            "country_code": "US",
            "telephone_number": "843-766-7103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3115 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291693425",
            "country_code": "US",
            "telephone_number": "843-766-7103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "JENNY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "20170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.