Jessica Basso Antonelli, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23277 Issued in SC

Practice address

218 Brighton Park Blvd Ste 101
Summerville, SC 29486-3013

Phone

(843) 471-1135

NPI assigned

May 16, 2019

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

• Dennis Schimpf PC

  dba Sweetgrass Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Summerville, SC
  • NPI 1588433320
  NPD
• Craig Blum PC

  • Plastic and Reconstructive Surgery Physician
  • Summerville, SC
  • NPI 1538091061
  NPD (past)

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1689230419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 GRINNELL ST",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554950",
            "telephone_number": "410-499-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BRIGHTON PARK BLVD STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294863013",
            "telephone_number": "843-471-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLI",
        "first_name": "JESSICA",
        "middle_name": "BASSO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344143",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William D Anderson, PTA
• James Charles Andrews, DMD
• Anesthesia Partners of South Carolina, LLC
• Angels Home Care
• Angels Home Care (Angels Home Care LLC)
• Aos N Main Street (Access Oral Surgery)
• Arcis Healthcare, LLC (Lowcountry Orthopaedics & Sports Medicine)
• Arcis Healthcare, LLC (Lowcountry Orthopaedics & Sports Medicine)
• Arcis Healthcare, LLC (Lowcountry Orthopaedics & Sports Medicine)
• Arcis Healthcare, LLC (Lowcountry Orthopaedics & Sports Medicine)

• Family Nurse Practitioner in Summerville, SC
• Providers in Summerville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.