Individual provider Active NPI

Rachel M Mendonca-Hasenbein, MSN, CRNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1114562121
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-143865 Issued in AL
Practice address
3000 Riverchase Galleria Ste 500
Hoover, AL 35244-2365
Phone
(205) 994-8811
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-143865 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-143865 AL Primary

Addresses

Primary practice location

3000 Riverchase Galleria Ste 500
Hoover, AL 35244-2365

Mailing address

2200 Lakeshore Dr Ste 150
Birmingham, AL 35209-8832
Phone (205) 871-6926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240305003196 AL Practitioner - Nurse Practitioner 4385089952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grayson and Associates PCGroup PAC ID 9032108253, 65 clinicians

Practice addresses (Care Compare)

3000 Riverchase Galleria
Suite 500
Hoover, AL 35244-2365
Phone (205) 444-0420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-143865ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grayson and Associates PC CurrentSince Feb 8, 2024 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Locations

2200 Lakeshore Dr
Ste 150
Homewood, AL 35209
Phone (205) 397-4774

3000 Riverchase Galleria
Ste 500
Hoover, AL 35244
Phone (205) 444-0420

100 Concourse Pkwy
Ste 101
Hoover, AL 35244
Phone (205) 444-0420

Organizations & group practices 2

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1114562121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LAKESHORE DR STE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352098832",
            "telephone_number": "205-871-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 RIVERCHASE GALLERIA STE 500",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442365",
            "telephone_number": "205-994-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDONCA-HASENBEIN",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "MSN, CRNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-143865",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-143865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.