NPIMap

Individual provider Active NPI

Jennifer Anne Steele, MD

  • Dermatology Physician
  • Mount Pleasant, SC
National Provider Identifier
1992753123
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25537 Issued in SC
Practice address
570 Long Point Rd
Suite 200
Mt Pleasant, SC 29464-7930
Phone
(843) 881-0320
Fax
(843) 881-5453
NPI assigned
May 4, 2006
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25537 SC Primary

Addresses

Primary practice location

570 Long Point Rd
Suite 200
Mt Pleasant, SC 29464-7930

Mailing address

570 Long Point Rd
Suite 200
Mt Pleasant, SC 29464-7930
Phone (843) 881-0320

Other identifiers 3

IdentifierTypeStateIssuer
H188797818OtherSCMEDICARE INDIVIDUAL PTAN
255379MedicaidSC
25537OtherSCSC INDIVIDUAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041118000241 SC Practitioner - Dermatology 9638133739 Reassigns benefits to 1 organization
I20260429003572 VA Practitioner - Dermatology 9638133739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Pleasant DermatologyGroup PAC ID 6204721285, 7 clinicians

Practice addresses (Care Compare)

570 Long Point Rd
Suite 200
Mount Pleasant, SC 29464-7940
Phone 8438810320230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.44 of 100Reported as individual
Quality
58.98
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision131
Removal of tissue1-10
Removal of skin lesions1760
Removal or shaving of skin growth24
Skin biopsy451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Pleasant Dermatology Specialist CurrentSince Dec 1, 2004 Accepting new patients
Virginia Emergency Physicians LLP Past Accepting new patients
Virginia Emergency Physicians LLP Past Accepting new patients

Locations

570 Long Point Rd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 881-0320

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1992753123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LONG POINT RD",
            "address_2": "SUITE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647930",
            "telephone_number": "843-881-0320",
            "fax_number": "843-881-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LONG POINT RD",
            "address_2": "SUITE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647930",
            "telephone_number": "843-881-0320",
            "fax_number": "843-881-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "25537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "H188797818",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255379",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC INDIVIDUAL LICENSE",
            "identifier": "25537",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.