Individual provider Active NPI

Meghan Elizabeth Mencer, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lenoir City, TN
National Provider Identifier
1073346771
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024061257 Issued in TN
Practice address
110 N a St
Lenoir City, TN 37771-2932
Phone
(865) 684-5688
NPI assigned
Aug 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 2024061257 TN Primary

Addresses

Primary practice location

110 N a St
Lenoir City, TN 37771-2932

Mailing address

110 N a St
Lenoir City, TN 37771-2932
Phone (865) 684-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250414003262 TN Practitioner - Nurse Practitioner 2567986359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Behavioral HealthGroup PAC ID 4486940459, 8 clinicians

Practice addresses (Care Compare)

9220 Park W Blvd
Suite 1
Knoxville, TN 37923-4405
Phone (865) 247-6754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37481TNMDPharmacist
2024061257TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Behavioral Health Psychiatric/Mental Health CurrentSince Jan 11, 2025 Accepting new patients

Locations

9220 Park West Blvd
Ste 1
Knoxville, TN 37923
Phone (865) 247-6754

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1073346771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N A ST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377712932",
            "telephone_number": "865-684-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N A ST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377712932",
            "telephone_number": "865-684-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCER",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "2024061257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.