Individual provider Active NPI

Jessica Ace, FNP

  • Family Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1619704962
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28747 Issued in SC
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 4 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114000636 SC Practitioner - Nurse Practitioner 5597293910 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SC Professional Services, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1064 Gardner Rd
Ste 215
Charleston, SC 29407
Phone (843) 737-0312

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28747 SC Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.