Individual provider Active NPI

Jessica Nicole Mills, APRN

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1336034818
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30511 Issued in SC
Practice address
750 S Church St
Spartanburg, SC 29306-5348
Phone
(864) 582-2411
NPI assigned
Jun 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 30511 SC Primary

Addresses

Primary practice location

750 S Church St
Spartanburg, SC 29306-5348

Mailing address

750 S Church St
Spartanburg, SC 29306-5348
Phone (864) 582-2411

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
I20251009000434 SC Practitioner - Nurse Practitioner 6709383367 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30511SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 25, 2025 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 25, 2025 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 25, 2025 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients

Locations

945 E Main St
Spartanburg, SC 29302
Phone (864) 383-9002

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

200 College St
Spartanburg, SC 29303

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenesis Organization Community Health Center 35 clinicians

Practice addresses (Care Compare)

220 College St
Spartanburg, SC 29303-3556
Phone (864) 582-2411

750 S Church St
Spartanburg, SC 29306-5348
Phone (864) 582-2411

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1336034818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065348",
            "telephone_number": "864-582-2411",
            "fax_number": "864-494-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065348",
            "telephone_number": "864-582-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.