Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerri Nicole Masanovich, NP

Individual provider Family Medicine Physician · NPI 1366922866

Jerri Nicole Masanovich, NP is a Nurse Practitioner in Lexington, South Carolina. Qualified in 2018, 8 years ago. Practices with Orange Cut Rate Drug Store, Inc, a 2-clinician group. Licensed in South Carolina.

Years since qualifying
8
Licensed in
SC
In the registry since
2018
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

171B Monroe Ln
Lexington, SC 29072-3904
Phone: (803) 358-8496
Fax: (866) 614-3887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22146 (SC)

Record details

NPI number1366922866
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Orange Cut Rate Drug Store, Inc. — 2 clinicians
Accepts Medicare assignment Not indicated

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