Individual provider Active NPI

Jasmine Vugrinac, FNP

  • Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1780199984
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21081 Issued in SC
Practice address
743 Folly Rd
Charleston, SC 29412-3432
Phone
(843) 762-2360
Fax
(843) 762-2340
NPI assigned
Dec 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 APRN.CNP.022242 OH
Family Nurse Practitioner 363LF0000X F06170905 SC
Nurse Practitioner 363L00000X 21081 SC Primary

Addresses

Primary practice location

743 Folly Rd
Charleston, SC 29412-3432

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Other practice location 1

8091 Rivers Ave
North Charleston, SC 29406-9281
Phone (843) 572-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180910002436 SC Practitioner - Nurse Practitioner 3971853185 Reassigns benefits to 1 organization
I20190419000634 OH Practitioner - Nurse Practitioner 3971853185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

743 Folly Rd
Charleston, SC 29412-3432
Phone (843) 762-2360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022242OHMDFamily Nurse Practitioner
F06170905SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Nurse Practitioner CurrentSince Apr 1, 2019 Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Apr 1, 2019 Accepting new patients

Locations

6711 Airport Hwy
Holland, OH 43528
Phone (567) 585-0070

1 Seagate
Ste 800
Toledo, OH 43604

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

743 Folly Rd
Charleston, SC 29412
Phone (843) 762-2360

1014 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 556-5585

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

8091 Rivers Ave
North Charleston, SC 29406
Phone (843) 572-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1780199984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123432",
            "telephone_number": "843-762-2360",
            "fax_number": "843-762-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8091 Rivers Ave",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069281",
            "country_code": "US",
            "telephone_number": "843-572-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUGRINAC",
        "first_name": "JASMINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-10",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022242",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F06170905",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.