Individual provider Active NPI

Jena McClure Richter, FNP

  • Nurse Practitioner
  • York, SC
National Provider Identifier
1164972139
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN28506 Issued in SC
Practice address
1190 Filbert Hwy Ste 110
York, SC 29745-9324
Phone
(803) 628-0004
Fax
(803) 628-6004
NPI assigned
Oct 13, 2016
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009009 NC
Family Nurse Practitioner 363LF0000X APRN01597 RI
Nurse Practitioner 363L00000X APRN28506 SC Primary
Nurse Practitioner 363L00000X APRN01597 RI
Nurse Practitioner 363L00000X MR9796042 NC

Addresses

Primary practice location

1190 Filbert Hwy Ste 110
York, SC 29745-9324

Mailing address

10 Davol SQ Ste 400
Providence, RI 02903-4760
Phone (401) 421-4000

Other practice location 1

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Other practice location 2

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8119

Other practice location 3

1351 S County Trl Ste 115
East Greenwich, RI 02818
Phone (401) 884-0333

Other practice location 4

1351 S County Trl Ste 115
East Greenwich, RI 02818
Phone (401) 884-0333

Other practice location 5

1530 S Providence Rd
Waxhaw, NC 28173-8313
Phone (704) 627-8365

Other identifiers 1

IdentifierTypeStateIssuer
APRN01907OtherRILICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, RI, SC3 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
I20161214000869 NC Practitioner - Nurse Practitioner 8527348333 Reassigns benefits to 1 organization
I20170607001182 RI Practitioner - Nurse Practitioner 8527348333 Reassigns benefits to 1 organization
I20241011002929 SC Practitioner - Nurse Practitioner 8527348333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

1190 Filbert Hwy
Suite 110
York, SC 29745-9324
Phone (803) 628-0004

1530 S Providence Rd
Waxhaw, NC 28173-8313
Phone (704) 627-8365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7427CTMDPharmacist
5009009NCMDFamily Nurse Practitioner
APRN01597RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LMW Healthcare Inc. CurrentSince Jun 1, 2019 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Aug 1, 2025 Accepting new patients
LMW Healthcare Inc. Nurse Practitioner CurrentSince Jun 1, 2019 Accepting new patients
Piedmont Physician Network LLC Nurse Practitioner CurrentSince Jun 24, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Aug 1, 2025 Accepting new patients
Pathology Consultants of New London, P.C. Current Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

1530 S Providence Rd
Waxhaw, NC 28173
Phone (704) 627-8365

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

515 Rivercrossing Dr
Ste 180
Fort Mill, SC 29715
Phone (803) 547-7541

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

1190 Filbert Hwy
Ste 110
York, SC 29745
Phone (803) 628-0004

1190 Filbert Hwy
#110
York, SC 29745
Phone (803) 628-0004

Interoperability endpoints

  • Direct secure messaging: jena.richter.1@14929.direct.athenahealth.com
  • Direct secure messaging: jrichter370275@direct.ynhh.org
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • Direct secure messaging: jrichter1731049@direct.novanthealth.org

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1164972139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ STE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034760",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 FILBERT HWY STE 110",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297459324",
            "telephone_number": "803-628-0004",
            "fax_number": "803-628-6004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Montauk Ave",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204700",
            "country_code": "US",
            "telephone_number": "860-442-0711",
            "fax_number": "203-688-9638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Neuse Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285603449",
            "country_code": "US",
            "telephone_number": "252-633-8119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1351 S County Trl Ste 115",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "02818",
            "country_code": "US",
            "telephone_number": "401-884-0333",
            "fax_number": "401-884-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1351 S County Trl Ste 115",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "02818",
            "country_code": "US",
            "telephone_number": "401-884-0333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 S Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281738313",
            "country_code": "US",
            "telephone_number": "704-627-8365",
            "fax_number": "704-627-8366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "JENA",
        "middle_name": "MCCLURE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01597",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APRN28506",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN01597",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "MR9796042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "APRN01907",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

Verify at the official NPI Registry.