Individual provider Active NPI

Jillian Viercinski

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1134968852
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32040 Issued in SC
Practice address
100 Healthy Way Ste 1260
Anderson, SC 29621-7918
Phone
(864) 225-3551
Fax
(864) 328-0328
NPI assigned
May 22, 2024
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32040 SC Primary
Family Nurse Practitioner 363LF0000X SP029730 PA

Addresses

Primary practice location

100 Healthy Way Ste 1260
Anderson, SC 29621-7918

Mailing address

100 Healthy Way Ste 1260
Anderson, SC 29621-7918
Phone (864) 225-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240815000691 PA Practitioner - Nurse Practitioner 8123566627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Pain Management Specialists , LLCGroup PAC ID 4880875426, 4 clinicians

Practice addresses (Care Compare)

1177 Hwy 315 Blvd
Wilkes Barre, PA 18702-6928
Phone (570) 270-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jul 15, 2024 Accepting new patients
Comprehensive Pain Management Specialists , LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

414 E Drinker St
Ste 203
Dunmore, PA 18512
Phone (570) 558-2050

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1177 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 270-5700

Interoperability endpoints

  • Direct secure messaging: jviercinski@comprehensivepaindocs.medentdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1134968852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY STE 1260",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217918",
            "telephone_number": "864-225-3551",
            "fax_number": "864-328-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY STE 1260",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217918",
            "telephone_number": "864-225-3551",
            "fax_number": "864-328-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERCINSKI",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "32040",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.