Jennifer Dianne Stanislaus · 2611 Forest Dr, Suite 200, Columbia, SC 29204-2371 · Pain Management · Palmetto Pain Management LLC (2024)

Medicare Doctors and Clinicians

8037793263 · Pain Management · 2611 Forest Dr, Suite 200, Columbia, SC 29204-2371

Overview

Jennifer Dianne Stanislaus is a pain management enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is PALMETTO PAIN MANAGEMENT LLC. The business address is 2611 Forest Dr, Suite 200, Columbia, SC 29204-2371. Published on November 17, 2014.

Enrollment Information

NPI 1871722892 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
PAC ID 5991927428 PECOS Associate Control (PAC) ID
Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20141117000794
Full Name JENNIFER DIANNE STANISLAUS
Gender F
Medical School WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2014
Primary Specialty PAIN MANAGEMENT
Secondary Specialties ANESTHESIOLOGY
Organization Legal Name PALMETTO PAIN MANAGEMENT LLC
Group Practice PAC ID 9234307521
Number of Group Practice Members 9
Address 2611 Forest Dr
Suite 200
Columbia
SC 29204-2371
Telephone 8037793263
Professional Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full
Group Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full

Provider Overview

NPI 1871722892 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
Provider Name JENNIFER DIANNE STANISLAUS
Address Medical Center Blvd
Winston Salem
NC 27157-0001
Taxonomy Code 207L00000X
Enumeration Date 2009-07-12

Individual EP (Eligible Professionals) Public Reporting Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure TitlePerformance RateAttestation ValueStar ValuePatient Count
Engagement of patients through implementation of improvements in patient portalY0
Tobacco useY0
Chronic Care and Preventative Care Management for Empaneled PatientsY0
Implementation of medication management practice improvementsY0
Use of decision support and standardized treatment protocolsY0
Measurement and Improvement at the Practice and Panel LevelY0
Advance Care Plan
(Qualified Registry)
0$1584
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
(Electronic Health Record)
18%$11462
Documentation of Current Medications in the Medical Record
(Electronic Health Record)
95%$49279
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
(Electronic Health Record)
13%$177
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
(Electronic Health Record)
14%1292
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
(Electronic Health Record)
9%1292
Closing the Referral Loop: Receipt of Specialist Report
(Electronic Health Record)
17%$147
e-Prescribing
(Electronic Health Record)
86%$21385
Support Electronic Referral Loops By Receiving and Incorporating Health Information ExclusionY0
Support Electronic Referral Loops By Sending Health Information ExclusionY0
e-Prescribing ExclusionY0
ONC-ACB Surveillance AttestationY0
ONC Direct Review AttestationY0
Provide Patients Electronic Access to Their Health Information
(Electronic Health Record)
71%$3234
Public Health Registry ReportingY0
Clinical Data Registry ReportingY0
Security Risk AnalysisY0

Organization Information

Organization Legal Name PALMETTO PAIN MANAGEMENT LLC
Address 2611 Forest Dr
Suite 200
Columbia
SC 29204-2371
Telephone 8037793263
Medical School WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE

Doctors with the same organization

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Sydnie Pye Physician AssistantPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Joan Chandler Hornick Physician AssistantPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Ezra Ben Riber Pain ManagementPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Neeraj Sriram AnesthesiologyPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Ben A Boatwright Mental Health CounselorPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Alan Rejonis AnesthesiologyPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Alexandra Anderson Physician AssistantPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Leigh Norris Davis Nurse PractitionerPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371

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Location Information

Street Address 2611 FOREST DR
SUITE 200
City COLUMBIA
State SC
Zip Code 29204-2371

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Alexandra Anderson Physician AssistantPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Ezra Ben Riber Pain ManagementPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Alan Rejonis AnesthesiologyPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Neeraj Sriram AnesthesiologyPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Ben A Boatwright Mental Health CounselorPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Aryn J. Snyder Physical TherapyPhysical Rehabilitation Group LLC2611 Forest Dr, Suite 130, Columbia, SC 29204-2372
Joan Chandler Hornick Physician AssistantPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Sydnie Pye Physician AssistantPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
Alyssa M Duran Physical TherapyPhysical Rehabilitation Group LLC2611 Forest Dr, Suite 130, Columbia, SC 29204-2372
Leigh Norris Davis Nurse PractitionerPalmetto Pain Management LLC2611 Forest Dr, Suite 200, Columbia, SC 29204-2371
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Hannah Hulsey Pediatric MedicineEau Claire Cooperative Health Center, Inc.1228 Harden St, Columbia, SC 29204-1800
Lauren Rudd Nates Nurse PractitionerEau Claire Cooperative Health Center, Inc.1228 Harden St, Columbia, SC 29204-1800
Leroy J Huffman Internal Medicine2638 Two Notch Rd, Suite 108, Columbia, SC 29204-1454
Shalanda E Pollins Nurse PractitionerEau Claire Cooperative Health Center, Inc.1228 Harden St, Suite C, Columbia, SC 29204-1800
Milissa P Davis Nurse PractitionerEau Claire Cooperative Health Center, Inc.1228 Harden St, Columbia, SC 29204-1800
Karonda W Hardrick Nurse PractitionerEau Claire Cooperative Health Center, Inc.1228 Harden St, Columbia, SC 29204-1800
Bashir A Lone Interventional CardiologyMusc Community Physicians2001 Laurel St, Columbia, SC 29204-1018
Jared Williams Atkinson PsychiatryEau Claire Cooperative Health Center, Inc.1228 Harden St, Columbia, SC 29204-1800
Norma M Khoury Cardiovascular Disease (Cardiology)Musc Community Physicians2001 Laurel St, Columbia, SC 29204-1018
Ala Bianca Naomi Lucky Nurse PractitionerMusc Community Physicians2001 Laurel St, Columbia, SC 29204-1018
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Dataset Information

This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider Centers for Medicare & Medicaid Services (CMS)
Source data.cms.gov

Dataset Details

The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:

  • The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
  • Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
  • Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
  • performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.

This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Jennifer Dianne Stanislaus · 2611 Forest Dr, Suite 200, Columbia, SC 29204-2371 · Pain Management · Palmetto Pain Management LLC (2024)
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