Penelope Lynn Vachon, DNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4436 Issued in SC

Practice address

1565 Sam Rittenberg Blvd Ste 201
Charleston, SC 29407-4138

Phone

(843) 793-1353

Fax

(843) 818-4172

NPI assigned

Jan 6, 2011

Last updated

Jul 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Lowcountry Wellness Center LLC

  • Primary Care Clinic/Center
  • Charleston, SC
  • NPI 1639604929
  Authorized official Same address or phone
• Compass Carolina Health Systems PA

  • Child & Adolescent Psychiatry Physician
  • Charleston, SC
  • NPI 1346488251
  NPD
• Physicians Health Solutions

  dba Palmetto Wellness Center

  • General Practice Physician
  • North Charleston, SC
  • NPI 1336453083
  NPD (past)
• Tresnicky Chiropractic LLC

  dba Coosaw Chiropractic

  • Chiropractor
  • North Charleston, SC
  • NPI 1245413228
  NPD (past)

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1326342239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SAM RITTENBERG BLVD STE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074138",
            "telephone_number": "843-793-1353",
            "fax_number": "843-818-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SAM RITTENBERG BLVD STE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074138",
            "telephone_number": "843-793-1353",
            "fax_number": "843-818-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHON",
        "first_name": "PENELOPE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "4436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uxl Physical Therapy and Wellness Services LLC
• Esther Uzondu
• VA Medical Center
• VA Medical Center
• VA Medical Center Charleston
• Jonathan Vaden, DPT
• Vilija Jo Vaitaitis
• Karalina Valente
• Maria A Valente, ANP
• Patrick Michael Valente, MD

• Primary Care Nurse Practitioner in Charleston, SC
• Providers in Charleston, SC by specialty
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.