Individual provider Active NPI

Caitlin L. Mengler, FNP

  • Acute Care Nurse Practitioner
  • N Charleston, SC
National Provider Identifier
1245599513
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
17836 Issued in SC
Practice address
9313 Medical Plaza Dr Ste 103
N Charleston, SC 29406-9802
Phone
(843) 790-8280
Fax
(843) 974-8500
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 17836 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr Ste 103
N Charleston, SC 29406-9802

Mailing address

9313 Medical Plaza Dr Ste 103
N Charleston, SC 29406-9802
Phone (843) 790-8280

Other practice location 1

1300 Hospital Dr Ste 170
Mount Pleasant, SC 29464-3243
Phone (843) 790-8280

Other practice location 2

404 Brighton Park Blvd Ste 101
Summerville, SC 29486-3058
Phone (843) 790-8280

Other practice location 3

1176 Sam Rittenberg, Ste 100
Charleston, SC 29407
Phone (843) 790-8280

Other identifiers 1

IdentifierTypeStateIssuer
NP2055MedicaidSC

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
I20120816000489 SC Practitioner - Nurse Practitioner 8022264514 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lowcountry Oncology Associates LLCGroup PAC ID 4688113723, 13 clinicians

Practice addresses (Care Compare)

9313 Medical Plaza Dr
Suite 103
North Charleston, SC 29406-9802
Phone (843) 790-8280

Hospital & facility affiliations

  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Colleton Medical Center Hospital, Walterboro, SC, CCN 420030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Oncology Associates, LLC CurrentSince Oct 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jul 1, 2012 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jun 20, 2022 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Nov 6, 2022 Accepting new patients
Bon Secours St. Francis Xavier Hosptial, Inc. CurrentSince Nov 6, 2022 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jun 20, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol Nurse Practitioner CurrentSince Jul 1, 2012 Accepting new patients

Locations

1176 Sam Rittenberg Blvd
Ste 100
Charleston, SC 29407
Phone (843) 790-8280

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2085 Henry Tecklenburg Dr
Fl 2
Charleston, SC 29414
Phone (843) 577-6957

2085 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 577-6957

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

1300 Hospital Dr
Ste 170
Mount Pleasant, SC 29464
Phone (843) 790-8280

3510 N Highway 17
Ste 110
Mt Pleasant, SC 29466
Phone (843) 402-1301

3510 N Highway 17
Ste 225
Mt Pleasant, SC 29466
Phone (843) 402-1766

8950 University Blvd
Ste 100
North Charleston, SC 29406
Phone (843) 402-5053

9313 Medical Plaza Dr
Ste 103
North Charleston, SC 29406
Phone (843) 790-8280

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

404 Brighton Park Blvd
Ste 101
Summerville, SC 29486
Phone (843) 790-8280

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1245599513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 103",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069802",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 103",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069802",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Hospital Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643243",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Brighton Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294863058",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1176 Sam Rittenberg, Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29407",
            "country_code": "US",
            "telephone_number": "843-790-8280",
            "fax_number": "843-974-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENGLER",
        "first_name": "CAITLIN",
        "middle_name": "L.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "17836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2055",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.