Individual provider Active NPI

Denis Ingle

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1184054256
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18579 Issued in SC
Practice address
345 Prado Way
Greenville, SC 29607-6512
Phone
(864) 692-1113
Fax
(864) 642-3691
NPI assigned
Nov 26, 2013
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18579 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 149956 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18579 SC Primary

Addresses

Primary practice location

345 Prado Way
Greenville, SC 29607-6512

Mailing address

345 Prado Way
Greenville, SC 29607-6512
Phone (864) 692-1113

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
I20140326001574 SC Practitioner - Nurse Practitioner 3870724362 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149956IAMDPsychiatric/Mental Health Nurse Practitioner
18579SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Hill Mental Health Center, Inc Current Accepting new patients
Chestnut Hill Mental Health Center, Inc. CurrentSince Oct 27, 2021 Accepting new patients
Pinnacle Psychiatric Associates Current Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

345 Prado Way
Greenville, SC 29607
Phone (864) 692-1113

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1184054256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PRADO WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076512",
            "telephone_number": "864-692-1113",
            "fax_number": "864-797-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 PRADO WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076512",
            "telephone_number": "864-692-1113",
            "fax_number": "864-642-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLE",
        "first_name": "DENIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18579",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "149956",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "18579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.