Ellen Jaskiewicz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1494 W Wade Hampton Blvd Ste C
Greer, SC 29650-1166

Phone

(864) 757-5059

NPI assigned

Nov 27, 2023

Sex

Female

Sole proprietor

Yes

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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bon Secours Ambulatory Services - St. Francis, LLCGroup PAC ID 0840590931, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bon Secours Ambulatory Services - St. Francis, LLC

  dba AFC Urgent Care Bon Secours

  • Urgent Care Clinic/Center
  • Greenville, SC
  • NPI 1124495643
  Medicare reassignment Care Compare group NPD
• Woodruff Road Urgent Care Center, P.C.

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Easley, SC
  • NPI 1598073496
  NPD

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1386410934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TACK LN",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505337",
            "telephone_number": "864-399-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1494 W WADE HAMPTON BLVD STE C",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501166",
            "telephone_number": "864-757-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKIEWICZ",
        "first_name": "ELLEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Jackson, M.D.
• Tyler Bradley Jackson, OTR/L
• Weston Jackson, DMD
• Timothy Donald James Jr., COTA/L
• Claudia Catalina Jaramillo, M.A,LPC
• Zainub Javed
• Daniel Henry Jebens, D.O.
• Celina Jenkins
• Beatriz Jimenez
• Ariba Johar

• Physician Assistant in Greer, SC
• Providers in Greer, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.