Jaellene Nawehiuilani Jellico, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

31642 Issued in SC

Practice address

897 Von Kolnitz Rd Ste 101
Mount Pleasant, SC 29464-3630

Phone

(843) 534-1770

Fax

(877) 453-3943

NPI assigned

Sep 4, 2025

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 names 1

• Jaellene Nawehiuilani Carson Former name

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

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roper Hospital Hospital, Charleston, SC, CCN 420087

Medicare enrollment (NPD)

Enrolled

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 Saint Francis Physicians Network

  • Surgery Physician
  • Charleston, SC
  • NPI 1124431606
  Medicare reassignment Care Compare group
• Bon Secours St Francis Xavier Hospital, Inc.

  • Emergency Medicine Physician
  • Charleston, SC
  • NPI 1770867442
  Medicare reassignment
• Roper St. Francis Specialty Physicians

  • Surgery Physician
  • Ladson, SC
  • NPI 1528945912
  Medicare reassignment

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

• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1861372302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 VON KOLNITZ RD STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643630",
            "telephone_number": "843-534-1770",
            "fax_number": "877-453-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLICO",
        "first_name": "JAELLENE",
        "middle_name": "NAWEHIUILANI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "31642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAELLENE",
            "last_name": "CARSON",
            "middle_name": "NAWEHIUILANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Izzo Jarvis, PHARMD
• Damian Jasik, DDS
• Jason S. Annan, DDS LLC
• JCRK Management Inc
• Jeffrey J. Gardner,DMD,PA
• Jacqueline Joanne Jemsek, LPC, NCC
• Alexandra Nicole Jennings
• Kylie Jester
• Holly Jetter
• JG Consultant Corp LLC

• Family Nurse Practitioner in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 8, 2026; 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.