Jennifer Sanders, NP
Individual provider Active NPI Nurse Practitioner · Greer, SC
NPI 1104451269 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1104451269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 23147 (SC)
- Practice address
- 1305 Boiling Springs Rd
Greer, SC 29650-4139 - Phone
- (864) 458-7566
- Fax
- (864) 288-8043
- NPI assigned
- Mar 10, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehensive Rehab Consultants PLLC
Practice addresses (Care Compare)
501 Gulliver St
Fountain Inn, SC 29644-2105
Phone (864) 862-2554
Hospital & facility affiliations
- Interim Healthcare of the Upstate
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200422002347 | SC | Practitioner - Nurse Practitioner | 9638509227 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23147 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnectmd South Carolina P.C. | Current |
Accepting new patients | |
| Comprehensive Rehab Consultants PLLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
501 Gulliver St
Fountain Inn, SC 29644
Phone (864) 862-2554
2 Griffith Rd
Greenville, SC 29607
Phone (864) 276-8583
1305 Boiling Springs Rd
Greer, SC 29650
Phone (864) 458-7566
1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634
1810 Richmond Ave
Port Royal, SC 29935
Phone (843) 781-7700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 23147 | SC | Yes |
Addresses
Primary practice location
1305 Boiling Springs Rd
Greer, SC 29650-4139
Mailing address
415 W Golf Rd Ste 26
Arlington Heights, IL 60005-3923
Phone (855) 700-8184
Other providers in Greer, SC
- Wanda Sexton Samake
- Jill Sampson
- Blanchard Emanuel Sanchez
- Sergio A Sanchez
- Sanders Healthcare LLC
- Sandra E. Luyindula, MD LLC
- Sandra H. Adams MSW, PA
- Kimberly Sue Sangiovanni
- Jan Kenneth Sangrones
- Sarah Anns Undercover World of Easley, Inc
All providers in Greer, SC · Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.