NPIMap

Individual provider Active NPI

Jessica Marie Hellman, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Ridgeway, SC
National Provider Identifier
1164046652
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23846 Issued in SC
Practice address
213 Tanglewood CT
Ridgeway, SC 29130-7100
Phone
(803) 337-3211
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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 23846 SC Primary

Addresses

Primary practice location

213 Tanglewood CT
Ridgeway, SC 29130-7100

Mailing address

213 Tanglewood CT
Ridgeway, SC 29130-7100
Phone (803) 479-5289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923000365 SC Practitioner - Nurse Practitioner 4183021892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

Practice addresses (Care Compare)

240 Stoneridge Dr
Suite 302
Columbia, SC 29210-8013
Phone (803) 117-0489

Hospital & facility affiliations

  • Pruitthealth Home Health-Columbia Home health agency, Columbia, SC, CCN 427130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Hospice, Inc. Current Accepting new patients
Pruitthealth Physicians Services, LLC Family CurrentSince Jul 1, 2021 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Physicians at Home PC Past Accepting new patients
Pruitthealth Pharmacy Services, Inc. Past Accepting new patients

Locations

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

240 Stoneridge Dr
Ste 302
Columbia, SC 29210
Phone (803) 771-0489

2051 Elijah Ludd Rd
Ste 1
Florence, SC 29501
Phone (843) 573-8623

328 Riverchase Way
Lexington, SC 29072
Phone (803) 739-4949

Organizations & group practices 22

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.

View all 22

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1164046652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 TANGLEWOOD CT",
            "city": "RIDGEWAY",
            "state": "SC",
            "postal_code": "291307100",
            "telephone_number": "803-479-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 TANGLEWOOD CT",
            "city": "RIDGEWAY",
            "state": "SC",
            "postal_code": "291307100",
            "telephone_number": "803-337-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLMAN",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeway, SC

Sources for this page

Verify at the official NPI Registry.