Individual provider Active NPI

Jennifer Blied, NP

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1104259647
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28979 Issued in SC
Practice address
115 State Park Rd
Greenville, SC 29609-2914
Phone
(864) 438-3500
Fax
(864) 438-3505
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 28979 SC
Family Nurse Practitioner 363LF0000X 28979 SC Primary
Nurse Practitioner 363L00000X COA.15035-NP OH
Gerontology Nurse Practitioner 363LG0600X COA 15035 NP OH

Addresses

Primary practice location

115 State Park Rd
Greenville, SC 29609-2914

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8611

Other practice location 1

2123 Auburn Ave Ste 401
Cincinnati, OH 45219-2906
Phone (513) 241-5489

Other practice location 2

890 W Faris Rd Ste 510
Greenville, SC 29605-4286
Phone (864) 455-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131008001700 OH Practitioner - Nurse Practitioner 6305070293 Reassigns benefits to 4 organizations
I20250331001736 SC Practitioner - Nurse Practitioner 6305070293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

115 State Park Rd
Greenville, SC 29609-2914
Phone (864) 438-3500

890 W Faris Rd
Suite 510
Greenville, SC 29605-4286
Phone (864) 455-1770

Hospital & facility affiliations

  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
83.07
Promoting interoperability
100
Improvement activities
40
Cost
79.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA 15035 NPOHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Nurse Practitioner CurrentSince May 1, 2019 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 13, 2025 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Nurse Practitioner CurrentSince Feb 5, 2020 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 13, 2025 Accepting new patients
Mercy Emergency Care Services, Inc. Nurse Practitioner CurrentSince Mar 16, 2015 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Ste 300
Greenville, SC 29601

890 W Faris Rd
Ste 510
Greenville, SC 29605
Phone (864) 455-1770

115 State Park Rd
Greenville, SC 29609
Phone (864) 438-3500

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

Interoperability endpoints

  • Direct secure messaging: jblied830195@direct.ghs.myhfn.org

Organizations & group practices 7

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1104259647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STATE PARK RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092914",
            "telephone_number": "864-438-3500",
            "fax_number": "864-438-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Auburn Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192906",
            "country_code": "US",
            "telephone_number": "513-241-5489",
            "fax_number": "513-241-5490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 W Faris Rd Ste 510",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054286",
            "country_code": "US",
            "telephone_number": "864-455-1770",
            "fax_number": "864-455-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLIED",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "28979",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28979",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.15035-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA 15035 NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.