Individual provider Active NPI

Meghan K Wachter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1063173383
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25691 Issued in SC
Practice address
696 Bultman Dr.
Sumter, SC 29150-2549
Phone
(803) 848-0500
Fax
(803) 848-0700
NPI assigned
Jan 8, 2022
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25691 SC Primary

Addresses

Primary practice location

696 Bultman Dr.
Sumter, SC 29150-2549

Mailing address

674 W Liberty St
Sumter, SC 29150-4882
Phone (803) 773-5227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003209 SC Practitioner - Nurse Practitioner 6103200530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians

Practice addresses (Care Compare)

696 Bultman Dr
Sumter, SC 29150-2549
Phone (803) 773-5227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Family Practice, LLC CurrentSince Mar 17, 2023 Accepting new patients
Colonial Family Practice, LLC CurrentSince Mar 17, 2023 Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice - Manning Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice & Ambulatory Care Center Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients

Locations

1124 Little St
Camden, SC 29020
Phone (803) 432-9899

4700 Forest Dr
Columbia, SC 29206
Phone (803) 256-1511

1013 Professional Ct
Ste A
Manning, SC 29102
Phone (803) 433-7425

1013 Professional Ct
Ste C
Manning, SC 29102
Phone (803) 433-7425

1036 Professional Ct
Manning, SC 29102
Phone (803) 433-5220

308 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 905-1200

325 Broad St
Sumter, SC 29150

325 Broad St
Ste 100
Sumter, SC 29150

325 Broad St
Ste 200
Sumter, SC 29150
Phone (803) 775-4469

327 Broad St
Sumter, SC 29150
Phone (803) 774-2781

385 W Wesmark Blvd
Sumter, SC 29150
Phone 8037735227 ext. 1013

674 W Liberty St
Sumter, SC 29150
Phone 80377352276010

696 Bultman Dr
Sumter, SC 29150
Phone (803) 848-0500

742 W Liberty St
Sumter, SC 29150
Phone (803) 773-3391

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1063173383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 W LIBERTY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504882",
            "telephone_number": "803-773-5227",
            "fax_number": "803-757-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 BULTMAN DR.",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502549",
            "telephone_number": "803-848-0500",
            "fax_number": "803-848-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "MEGHAN",
        "middle_name": "K",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "25691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.