Organization Active NPI

All-Star Health & Wellness LLC

  • Family Nurse Practitioner
  • Pageland, SC
National Provider Identifier
1376410290
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ALL-STAR HEALTH & WELLNESS LLC
Practice address
715 S Pearl St
Pageland, SC 29728-2225
Phone
(843) 672-2413
Fax
(843) 438-0757
NPI assigned
Oct 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Jessica Brubeck, ARPNNPI 1467904912
Title
Owner
Phone
(843) 672-2413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

715 S Pearl St
Pageland, SC 29728-2225

Mailing address

715 S Pearl St
Pageland, SC 29728-2225
Phone (843) 672-2413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251119000015 SC Part B Supplier - Clinic/Group Practice 4880185768 Receives reassigned benefits from 1 practitioner
Practice locations: Pageland, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2263328All Star Health & Wellness, LLC715 South Pearl Street, Pageland, SC 29728Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory

Locations

715 S Pearl St
Pageland, SC 29728
Phone (843) 672-2413

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1376410290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S PEARL ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297282225",
            "telephone_number": "843-672-2413",
            "fax_number": "843-438-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S PEARL ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297282225",
            "telephone_number": "843-672-2413",
            "fax_number": "843-438-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL-STAR HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "BRUBECK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-672-2413",
        "authorized_official_credential": "ARPN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pageland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.