NPIMap

Individual provider Active NPI

Jessica Grace Smith Chasse, FNP-C

  • Family Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1679094601
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5421070 Issued in SC
Practice address
3874 Renee Dr Unit D
Myrtle Beach, SC 29579-4358
Phone
(843) 903-4500
Fax
(843) 903-4505
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5421070 SC Primary
Family Medicine Physician 207Q00000X 21070 SC
Family Medicine Physician 207Q00000X 5421070 SC

Addresses

Primary practice location

3874 Renee Dr Unit D
Myrtle Beach, SC 29579-4358

Mailing address

3874 Renee Dr Unit D
Myrtle Beach, SC 29579-4358
Phone (843) 903-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171026002338 SC Practitioner - Nurse Practitioner 8820364433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3874 Renee Dr
Unit D
Myrtle Beach, SC 29579-4358
Phone (843) 903-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
46 of 100Reported as individual
Quality
56.07
Improvement activities
0
Cost
78.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5421070SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Family Care, Inc Family CurrentSince Dec 10, 2021 Accepting new patients

Locations

3874 Renee Dr
Unit B
Myrtle Beach, SC 29579
Phone (717) 649-9138

3874 Renee Dr
Unit D
Myrtle Beach, SC 29579
Phone (843) 903-4500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1679094601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3874 RENEE DR UNIT D",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794358",
            "telephone_number": "843-903-4500",
            "fax_number": "843-903-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3874 RENEE DR UNIT D",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794358",
            "telephone_number": "843-903-4500",
            "fax_number": "843-903-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH CHASSE",
        "first_name": "JESSICA",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "5421070",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21070",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "5421070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.