Individual provider Active NPI

Jesse Philip Kasitz, APRN

  • Gerontology Nurse Practitioner
  • Florence, SC
National Provider Identifier
1154754471
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
20691 Issued in SC
Practice address
800 E Cheves St Ste 260
Florence, SC 29506-2652
Phone
(843) 665-7941
Fax
(843) 665-1257
NPI assigned
Aug 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP013051 PA
Gerontology Nurse Practitioner 363LG0600X 20691 SC Primary

Addresses

Primary practice location

800 E Cheves St Ste 260
Florence, SC 29506-2652

Mailing address

800 E Cheves St Ste 260
Florence, SC 29506-2652
Phone (843) 665-7941

Other practice location 1

420 W Linfield Trappe Rd
Suite #3200
Limerick, PA 19468-4278
Phone (610) 495-2550

Other practice location 2

200 S Herlong Ave Ste G
Rock Hill, SC 29732-1182
Phone (803) 909-6300

Other identifiers 1

IdentifierTypeStateIssuer
NP6221MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160425000086 PA Practitioner - Nurse Practitioner 0840599932 Reassigns benefits to 3 organizations
I20191023000207 SC Practitioner - Nurse Practitioner 0840599932 Reassigns benefits to 1 organization
I20220217000207 FL Practitioner - Nurse Practitioner 0840599932 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
Telehealth
Offers telehealth services
Group practices
Pottstown Clinic Company LLCGroup PAC ID 6406857184, 112 clinicians
Phoenixville Clinic Company LLCGroup PAC ID 5799796850, 135 clinicians

Practice addresses (Care Compare)

1597 Medical Dr
Pottstown, PA 19464-3224
Phone (610) 327-7770

826 Main St
Suite 302
Phoenixville, PA 19460-4459
Phone (610) 495-2550

Hospital & facility affiliations

  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
76.12
Promoting interoperability
99
Improvement activities
40
Cost
73.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013051PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC CurrentSince Sep 23, 2019 Accepting new patients
Tri-County Hospitalists, LLC CurrentSince Sep 19, 2015 Accepting new patients
Phoenixville Clinic Company LLC Current Accepting new patients
Post Acute Specialists of Florida PLLC CurrentSince Jun 24, 2024 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Nov 1, 2024 Accepting new patients
Pottstown Clinic Company LLC CurrentSince Nov 1, 2024 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Nov 1, 2024 Accepting new patients
Gulf Coast Cardiothoracic Surgeons CurrentSince Feb 9, 2022 Accepting new patients
Pottstown Hospital Company LLC Past Accepting new patients

Locations

8010 Summerlin Lakes Dr
Fort Myers, FL 33907
Phone (239) 939-1767

8010 Summerlin Lakes Dr
Ste 100
Fort Myers, FL 33907
Phone (239) 939-1767

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

508 S Habana Ave
Ste 300
Tampa, FL 33609
Phone (813) 877-6770

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

826 Main St
Ste 302
Phoenixville, PA 19460
Phone (215) 546-6050

826 Main St
Ste 301
Phoenixville, PA 19460
Phone (610) 422-5000

507 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 243-9117

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

1597 Medical Dr
#2
Pottstown, PA 19464
Phone (610) 327-7770

420 W Linfield Trappe Rd
Ste 3200
Royersford, PA 19468
Phone (610) 495-2550

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

200 Herlong Ave S
Ste G
Rock Hill, SC 29732
Phone (803) 325-1770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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 9

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": "1376179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1154754471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST STE 260",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062652",
            "telephone_number": "843-665-7941",
            "fax_number": "843-665-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST STE 260",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062652",
            "telephone_number": "843-665-7941",
            "fax_number": "843-665-1257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W Linfield Trappe Rd",
            "address_2": "Suite #3200",
            "address_purpose": "LOCATION",
            "city": "Limerick",
            "state": "PA",
            "postal_code": "194684278",
            "country_code": "US",
            "telephone_number": "610-495-2550",
            "fax_number": "610-495-2588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S Herlong Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321182",
            "country_code": "US",
            "telephone_number": "803-909-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASITZ",
        "first_name": "JESSE",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-11",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP013051",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "20691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP6221",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.