Individual provider Active NPI

Jessica M Horlacher, FNP

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1114469665
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20579 Issued in SC
Practice address
3101 S Highway 14
Greenville, SC 29615-5950
Phone
(864) 520-1121
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 20579 SC Primary

Addresses

Primary practice location

3101 S Highway 14
Greenville, SC 29615-5950

Mailing address

378 Juniper Bend Cir
Greenville, SC 29615-6229
Phone (864) 420-2548

Other practice location 1

1800 Augusta St
Suite B
Greenville, SC 29605-2928
Phone (864) 420-2548

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
I20170307002130 SC Practitioner - Nurse Practitioner 9537443700 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Feb 1, 2017 Accepting new patients
Woodruff Road Urgent Care Center, P.C. Current Accepting new patients

Locations

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

1800 Augusta St
#B
Greenville, SC 29605
Phone (648) 412-7812

3930 Grandview Dr
#B
Simpsonville, SC 29680
Phone (864) 301-6156

Organizations & group practices 2

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1114469665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 JUNIPER BEND CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156229",
            "telephone_number": "864-420-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S HIGHWAY 14",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155950",
            "telephone_number": "864-520-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Augusta St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296052928",
            "country_code": "US",
            "telephone_number": "864-420-2548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORLACHER",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.