Individual provider Active NPI

Stephanie M Jokerst, FNP-BC

  • Acute Care Nurse Practitioner
  • Irmo, SC
National Provider Identifier
1235652967
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
21174 Issued in SC
Practice address
1032A Kinley Rd
Irmo, SC 29063-9632
Phone
(803) 612-0830
NPI assigned
Jul 25, 2017
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 21174 SC Primary
Family Nurse Practitioner 363LF0000X 21174 SC

Addresses

Primary practice location

1032A Kinley Rd
Irmo, SC 29063-9632

Mailing address

1032A Kinley Rd
Irmo, SC 29063-9632
Phone (803) 612-0830

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
I20170927000049 SC Practitioner - Nurse Practitioner 2365716511 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1032 A Kinley Rd
Irmo, SC 29063-9632
Phone (803) 612-0830

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District, Inc. CurrentSince Jan 6, 2020 Accepting new patients
Unified Family Health Center LLC Family CurrentSince Jan 28, 2020 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Irmo Family Chiropractic, Inc PastSince Jan 28, 2020 Accepting new patients

Locations

557 Columbia Ave
Chapin, SC 29036
Phone (803) 932-0655

7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924

1032A Kinley Rd
Irmo, SC 29063
Phone (803) 612-0830

338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300

154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580

811 W Main St
Lexington, SC 29072

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

811 W Main St
Ste 212
Lexington, SC 29072
Phone (803) 358-6180

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

470 Hulon Ln
West Columbia, SC 29169

Interoperability endpoints

  • Direct secure messaging: stephanie.fulmer@3774.securemail.prognocis.com

Organizations & group practices 6

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1235652967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032A KINLEY RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639632",
            "telephone_number": "803-612-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032A KINLEY RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639632",
            "telephone_number": "803-612-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOKERST",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "21174",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.