Jessica Carole Blake, FNP - Medicare Nurse Practitioner in Newberry, SC

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Jessica Carole Blake, FNP is a medicare enrolled "Nurse Practitioner" in Newberry, South Carolina. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Three Rivers Medical Associates Pa, Novant Health Urgent Cares Llc and her current practice location is 1410 Wilson Rd, Newberry, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 276-2186.

Jessica Carole Blake is licensed to practice in South Carolina (license number 25430) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760154447.

Contact Information

Jessica Carole Blake, FNP
1410 Wilson Rd,
Newberry, SC 29108-3050
(803) 276-2186
(803) 276-2630

Map and Direction




Provider's Profile

Full NameJessica Carole Blake
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1410 Wilson Rd, Newberry, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Carole Blake graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1760154447
  • Provider Enumeration Date: 10/01/2021
  • Last Update Date: 01/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8022400415
  • Enrollment ID: I20220114001507

Medical Identifiers

Medical identifiers for Jessica Carole Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760154447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 25430 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 25430 (South Carolina)Secondary
363L00000XNurse Practitioner 25430 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Baptist ParkridgeColumbia, SCHospital
Newberry County Memorial HospitalNewberry, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Three Rivers Medical Associates Pa155726766311
Novant Health Urgent Cares Llc8628502598173

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Carole Blake allows following entities to bill medicare on her behalf.
Entity NameMcleod Regional Medical Center Of The Pee Dee, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154371433
PECOS PAC ID: 7416851852
Enrollment ID: O20031126000251
Entity NameThree Rivers Medical Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445597
PECOS PAC ID: 1557267663
Enrollment ID: O20031210000142
Entity NameMedcare Express - North Charleston Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457579617
PECOS PAC ID: 7618074899
Enrollment ID: O20070523000200
Entity NameLexington Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922
Entity NameNovant Health Urgent Cares Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841026382
PECOS PAC ID: 8628502598
Enrollment ID: O20241114002376

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Carole Blake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Carole Blake, FNP
Po Box 749306,
Atlanta, GA 30374-9306

Ph: () -		Jessica Carole Blake, FNP
1410 Wilson Rd,
Newberry, SC 29108-3050

Ph: (803) 276-2186

Reviews and Comments


Nurse Practitioner Nurses in Newberry, SC

Sarah Burnside Riggins,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2525 Kinard St, Newberry, SC 29108
Phone: 803-405-0220    
Emilee Robin Bartley, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1425 Wilson Rd, Newberry, SC 29108
Phone: 803-723-5959    Fax: 803-768-5098
Betty M Summer, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Msa Hospice, 2228 Harrington Sr, Newberry, SC 29108
Phone: 803-321-0341    Fax: 803-321-0517
Emily Sue Livingston, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2033 Medical Park Dr, Newberry, SC 29108
Phone: 803-276-5188    
Barbie K. Johnson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2605 Kinard St Ste 200, Newberry, SC 29108
Phone: 803-405-1900    Fax: 803-405-1919
Morgan D Flowers, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2525 Kinard St, Newberry, SC 29108
Phone: 803-405-0222    
Beatriz Lopez Martinez, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2562 Kinard St, Newberry, SC 29108
Phone: 803-630-5353    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.