Jessica Ellis Fralick, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18948 Issued in SC

Practice address

370 S Pike W
Sumter, SC 29150-2664

Phone

(803) 774-7337

Fax

(803) 774-4629

NPI assigned

Jul 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.fralick.1@13095.direct.athenahealth.com

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.

• Tandem Health SC

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
  • NPI 1386630192
  Medicare reassignment NPD
• Tandem Health SC

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
  • NPI 1740641919
  NPD
• Tandem Health SC

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
  • NPI 1821885583
  NPD
• Tandem Health SC

  • Federally Qualified Health Center (FQHC)
  • Pinewood, SC
  • NPI 1811973068
  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1962819565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S PIKE W",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502664",
            "telephone_number": "803-774-7337",
            "fax_number": "803-774-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S PIKE W",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502664",
            "telephone_number": "803-774-7337",
            "fax_number": "803-774-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALICK",
        "first_name": "JESSICA",
        "middle_name": "ELLIS",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick J Ford
• Ponya J. Ford
• Virgina W Ford, ED.D, RN, CS, FNP
• Kimberly Fort, CCC-SLP
• Angela Foxworth, CERTIFIED COACH
• Jacqueline Ruth Francis, PH.D.
• Wendy Franklin
• Carleigh Fraser
• Brittney Nichole Frazier, FNP-C
• Fresenius Medical Care Cna Kidney Centers, LLC

• Family Nurse Practitioner in Sumter, SC
• Providers in Sumter, 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 Nov 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.