Individual provider Active NPI

Jessica Plaice Duncklee, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbia, SC
National Provider Identifier
1871727776
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2572 Issued in NC
Practice address
Taylor at Marion St
Columbia, SC 29220-0001
Phone
(803) 296-4989
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AC002675 MD
Certified Registered Nurse Anesthetist 367500000X 3889 SC
Certified Registered Nurse Anesthetist 367500000X 2572 NC Primary

Addresses

Primary practice location

Taylor at Marion St
Columbia, SC 29220-0001

Mailing address

105 Bronlow Dr
Irmo, SC 29063-8374
Phone (803) 479-0856

Other names 1

  • Jessica Plaice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MD, DC, WA, NC5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20091020000129 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335286673 Reassigns benefits to 1 organization
I20190708002378 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335286673 Reassigns benefits to 2 organizations
I20190708002599 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335286673 Reassigns benefits to 1 organization
I20220902001528 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335286673 Reassigns benefits to 2 organizations
I20241013000007 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335286673 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

10030 Gilead Rd
Huntersville, NC 28078-7545
Phone (336) 277-8757

Hospital & facility affiliations

  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2572NCMDClinical Psychologist
3889SCMDOccupational Therapist
AC002675MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Mar 11, 2020 Accepting new patients
Novant Health Ballantyne Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2024 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Sep 23, 2024 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 23, 2024 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Mar 11, 2020 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2024 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2024 Accepting new patients
Prisma Health-Midlands CurrentSince Aug 26, 2009 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Sep 23, 2024 Accepting new patients
Medical Park Hospital LLC CurrentSince Sep 23, 2024 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2024 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2024 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Prisma Health-Midlands CurrentSince Aug 26, 2009 Accepting new patients
Medical Park Hospital LLC CurrentSince Sep 23, 2024 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2024 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2024 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Sep 23, 2024 Accepting new patients
Rainier Anesthesia Associates PC CurrentSince Sep 1, 2022 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2024 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Sep 23, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2024 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 13, 2019 Accepting new patients
The Presbyterian Hospital CurrentSince Sep 23, 2024 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2024 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Gastroenterology Associates Clinical Practice, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Prisma Health-Midlands Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 28)

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

46 W Gude Dr
Rockville, MD 20850
Phone (240) 750-6170

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

10030 Gilead Rd
Ste 120
Huntersville, NC 28078
Phone (704) 316-5670

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1871727776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRONLOW DR",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638374",
            "telephone_number": "803-479-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TAYLOR AT MARION ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292200001",
            "telephone_number": "803-296-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCKLEE",
        "first_name": "JESSICA",
        "middle_name": "PLAICE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "AC002675",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "3889",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PLAICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.