Jacquelyn Suzette Ammons, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

21768 Issued in SC

Practice address

9330 Medical Plaza Dr
Charleston, SC 29406-9104

Phone

(843) 847-4876

NPI assigned

Jun 12, 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

Other identifiers 1

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

University of South Carolina School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roper St Francis Hospital-Berkeley Inc. 22 clinicians

Roper Hospital Inc 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jammons1252319@direct.bsmhealth.org
• Direct secure messaging: tatiana.tulei.d1.p1@direct.llcc.nextgenshare.com
• Direct secure messaging: jacquelyn.ammons.p1@direct.llcc.nextgenshare.com
• Direct secure messaging: jacquelyn.ammons@hca5.eclinicaldirectplus.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.

• Roper Hospital, Inc.

  • Infectious Disease Physician
  • Charleston, SC
  • NPI 1104150739

  SC

  Medicare reassignment Care Compare group NPD
• Roper St Francis Hospital-Berkeley Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Summerville, SC
  • NPI 1295534956

  SC

  Medicare reassignment Care Compare group NPD
• Bon Secours St Francis Xavier Hospital, Inc.

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1740502822

  SC

  Medicare reassignment NPD
• Roper St. Francis Mount Pleasant Hospital

  • Cardiovascular Disease Physician
  • Mt Pleasant, SC
  • NPI 1629499298

  SC

  Medicare reassignment NPD
• Roper Hospital Inc

  • Emergency Medicine Physician
  • Moncks Corner, SC
  • NPI 1104983055
  Care Compare group
• Roper Hospital Inc

  • Community Based Hospice Care Agency
  • Ladson, SC
  • NPI 1902195563
  Care Compare group
• Roper Hospital, Inc

  • Rehabilitation Hospital Unit
  • Charleston, SC
  • NPI 1275503799
  Care Compare group
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare group
• Roper St Francis Ancillary Services

  • Home Health Agency
  • Ladson, SC
  • NPI 1619947140
  Care Compare group
• Roper St Francis Hospital-Berkeley Inc.

  • General Acute Care Hospital
  • Summerville, SC
  • NPI 1336603646
  Care Compare group
• Bon Secours St Francis Xavier Hospital, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Charleston, SC
  • NPI 1205635968
  NPD
• Bon Secours St. Francis Xavier Hospital, Inc.

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1982583068
  NPD

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

• Roper St Francis Hospital-Berkeley Inc.

  • General Acute Care Hospital
  • Summerville, SC
  • NPI 1336603646

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1669965810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-847-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-847-4876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294011113",
            "country_code": "US",
            "telephone_number": "843-724-2450",
            "fax_number": "843-724-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMMONS",
        "first_name": "JACQUELYN",
        "middle_name": "SUZETTE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "21768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICC HEALTHCARE LLC",
            "identifier": "1720210586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Marie Amistade, RN
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• Ammons Dental by Design West Ashley
• Ammons Dental by Design- James Island
• Araby Keith Ammons, DMD
• Sarah Ammons
• Emilie Rosset Ammoura, DMD, PHD
• Clare Amoako-Parks, DOULA
• Kellie Anne Amodeo, M.D.
• Katelynne Sierra Amos, LMT

• All providers in Charleston, SC
• Acute Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.