Jerri Nicole Masanovich, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22146 Issued in SC

Practice address

171B Monroe LN
Lexington, SC 29072-3904

Phone

(803) 358-8496

Fax

(866) 614-3887

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Orange Cut Rate Drug Store, Inc.Group PAC ID 4385704865, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Musc Medical Center Hospital, Charleston, SC, CCN 420004

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerri.masanovich.1@18835.direct.athenahealth.com

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.

• Orange Cut Rate Drug Store, Inc

  • General Practice Physician
  • Orangeburg, SC
  • NPI 1306326640
  Medicare reassignment Care Compare group NPD
• Geriatric Health and Wellness LTD Co.

  • Geriatric Medicine (Family Medicine) Physician
  • West Columbia, SC
  • NPI 1598311359
  Medicare reassignment NPD
• Springwood Lake Primary Care, LLC

  • Clinic/Center
  • Columbia, SC
  • NPI 1841797081
  Medicare reassignment NPD
• Orange Cut Rate Drug Store, Inc.

  • Pharmacy
  • Orangeburg, SC
  • NPI 1558366930
  NPD

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

• Medical University Hospital Authority

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1073605879
  Care Compare affiliation
• Medical University Hospital Authority

  • Rehabilitation Hospital
  • Orangeburg, SC
  • NPI 1154020147
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1659435840
  Care Compare affiliation
• Medical University Hospital Authority

  • Psychiatric Hospital
  • Orangeburg, SC
  • NPI 1669171740
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Orangeburg, SC
  • NPI 1710683354
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Orangeburg, SC
  • NPI 1770280299
  Care Compare affiliation

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1366922866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 LOWNSDALE RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291703178",
            "telephone_number": "803-920-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171B MONROE LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723904",
            "telephone_number": "803-358-8496",
            "fax_number": "866-614-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASANOVICH",
        "first_name": "JERRI",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "22146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyoto Martin
• Matthew Martin, PHARM.D.
• Pamela Ann Martin, PTA
• Ryan Martin, DPT
• Leslie Janet Martinez-Garcia
• Russell W Massey, PT
• Deryk Matheny
• John M Matheny, RPH
• Michelle Bensman Matheny, MA, ATC
• Elizabeth F Mathias, MD

• Family Medicine Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.