Jacqueline Susanne Crowell, NP
NPI 1588174635ActiveIndividual· Nurse Practitioner· Myrtle Beach, SC
Nurse Practitioner (NP) with Grand Strand Surgical Specialists LLC, practicing in Myrtle Beach, South Carolina. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1588174635 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Oct 3, 2017 |
| Last updated in NPPES | Feb 10, 2022 |
| Certified by provider | Feb 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 21275RX | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (SC) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Grand Strand Surgical Specialists LLCMyrtle Beach, SC · 57 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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