Active NPI
Jessica Ace, FNP
- Family Nurse Practitioner
- Summerville, SC
National Provider Identifier
1619704962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28747
- Practice address
- 325 Parish Parc Dr
Summerville, SC 29485-8908 - Phone
- (610) 393-4709
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- SC Professional Services LLC
Practice addresses (Care Compare)
1064 Gardner Rd
Suite 215
Charleston, SC 29407-1712
Phone (843) 737-0312
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114000636 | SC | Practitioner - Nurse Practitioner | 5597293910 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC Professional Services, LLC | Current | Accepting new patients |
Locations
1064 Gardner Rd
Ste 215
Charleston, SC 29407
Phone (843) 737-0312
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28747 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
325 Parish Parc Dr
Summerville, SC 29485-8908
Mailing address
325 Parish Parc Dr
Summerville, SC 29485-8908
Phone (610) 393-4709
Other practice location 1
1064 Gardner Rd Ste 215
Charleston, SC 29407-1712
Phone (843) 801-8011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2026.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1619704962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 PARISH PARC DR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858908",
"telephone_number": "610-393-4709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PARISH PARC DR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858908",
"telephone_number": "610-393-4709"
}
],
"practiceLocations": [
{
"address_1": "1064 Gardner Rd Ste 215",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294071712",
"country_code": "US",
"telephone_number": "843-801-8011",
"fax_number": "843-279-3161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACE",
"first_name": "JESSICA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "28747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.