Jessica Mckenzie Grimsley, FNP - Medicare Nurse Practitioner in Lake City, SC

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Jessica Mckenzie Grimsley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lake City, South Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medical University Hospital Authority and her current practice location is 276 N Ron Mcnair Blvd, Lake City, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 394-5471.

Jessica Mckenzie Grimsley is licensed to practice in South Carolina (license number 19962) 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 1255799631.

Contact Information

Jessica Mckenzie Grimsley, FNP
276 N Ron Mcnair Blvd,
Lake City, SC 29560-2462
(843) 394-5471
Not Available

Map and Direction




Provider's Profile

Full NameJessica Mckenzie Grimsley
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location276 N Ron Mcnair Blvd, Lake City, 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 Mckenzie Grimsley graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1255799631
  • Provider Enumeration Date: 02/01/2016
  • Last Update Date: 10/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799075958
  • Enrollment ID: I20160601000900

Medical Identifiers

Medical identifiers for Jessica Mckenzie Grimsley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255799631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 19962 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeMyrtle beach, SCHome health agency
Musc Health Florence Medical CenterFlorence, SCHospital
Musc Medical CenterCharleston, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical University Hospital Authority1557268950171

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 Mckenzie Grimsley allows following entities to bill medicare on her behalf.
Entity NameMedical University Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255305876
PECOS PAC ID: 1557268950
Enrollment ID: O20031215000499
Entity NameWilliamsburg Regional Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124192109
PECOS PAC ID: 7911994553
Enrollment ID: O20040427000770
Entity NameMaqsood Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427447770
PECOS PAC ID: 1254657448
Enrollment ID: O20150305001928
Entity NameLake City Medical Associates 2017, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316477060
PECOS PAC ID: 4789957283
Enrollment ID: O20170905003055

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 Mckenzie Grimsley 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 Mckenzie Grimsley, FNP
Po Box 23467,
New York, NY 10087-3467

Ph: (843) 792-6200		Jessica Mckenzie Grimsley, FNP
276 N Ron Mcnair Blvd,
Lake City, SC 29560-2462

Ph: (843) 394-5471

Reviews and Comments


Nurse Practitioner Nurses in Lake City, SC

Mrs. Margaret Elaine Tanner, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 137 N Acline St, Lake City, SC 29560
Phone: 843-394-8822    Fax: 843-394-8856
Diana Lee Collins,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 148 Sauls St, Lake City, SC 29560
Phone: 843-374-3621    
Mrs. Allison Campbell, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 137 N Acline St, Lake City, SC 29560
Phone: 843-394-8822    
Ms. Sarah Lisa Frierson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1278 Moore St, Lake City, SC 29560
Phone: 843-389-7251    
Mrs. Omega Denise Graham, PMHNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 378 Wallace St, Lake City, SC 29560
Phone: 843-373-0569    
Dominique Sophia Destiny Speaks, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 652 N Matthews Rd, Lake City, SC 29560
Phone: 843-432-3677    

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.