Individual provider Active NPI

Jennifer Weich, FNP-C

  • Family Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1053843623
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20900 Issued in SC
Practice address
1229 Alice Dr
Sumter, SC 29150-1970
Phone
(803) 905-2273
Fax
(803) 905-7775
NPI assigned
Apr 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20900 SC Primary

Addresses

Primary practice location

1229 Alice Dr
Sumter, SC 29150-1970

Mailing address

1229 Alice Dr
Sumter, SC 29150-1970
Phone (803) 905-2273

Other practice location 1

129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9111

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
I20170626000817 SC Practitioner - Nurse Practitioner 1355619818 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

301 E Jackson St
Dillon, SC 29536-2509
Phone (843) 367-5690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20900SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Aug 8, 2022 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Oct 1, 2025 Accepting new patients
Brian Lecher, PC CurrentSince Jul 5, 2023 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 8, 2022 Accepting new patients
Magnolia Family Practice LLC CurrentSince Feb 3, 2020 Accepting new patients

Locations

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

506 E Cheves St
#202
Florence, SC 29506

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

540 Physicians Ln
Sumter, SC 29150
Phone (803) 778-1941

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

3440 Declaration Blvd
Sumter, SC 29154
Phone (803) 905-3278

1229 Alice Dr
Sumter, SC 29150
Phone (803) 905-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIAJBD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1053843623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 ALICE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501970",
            "telephone_number": "803-905-2273",
            "fax_number": "803-905-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 ALICE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501970",
            "telephone_number": "803-905-2273",
            "fax_number": "803-905-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504949",
            "country_code": "US",
            "telephone_number": "803-774-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEICH",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.