DR. PENELOPE LYNN VACHON DNP
NPI 1326342239
Nurse Practitioner - Primary Care in Charleston, SC

Q: What is Penelope Vachon's NPI number?

The NPI number for Penelope Vachon is 1326342239. It was assigned to this individual provider in the NPPES registry on January 6, 2011.

Q: What is Penelope Vachon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: Is Penelope Vachon enrolled in Medicare?

No. Penelope Vachon has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Penelope Vachon was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 06, 2011Opted out of Medicare · through Jan 1, 2027

1565 SAM RITTENBERG BLVD STE 201, CHARLESTON, SC 29407(843) 793-1353(843) 818-4172 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 21, 2020, Sep 22, 2017 and 2 more (5 updates tracked since 2016).

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About Dr. Penelope Lynn Vachon Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PENELOPE LYNN VACHON DNP (NPI 1326342239) is an individual primary care provider in Charleston, South Carolina, licensed in South Carolina (4436) and active in the NPI registry since January 2011. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326342239

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameDR. PENELOPE LYNN VACHONCredential: DNP

Location Address1565 SAM RITTENBERG BLVD STE 201Charleston, SC 29407-4138

Mailing Address1565 Sam Rittenberg Blvd Ste 201Charleston, SC 29407-4138 · (843) 793-1353 · Fax (843) 818-4172

Phone(843) 793-1353

Fax(843) 818-4172

Sole ProprietorYes

Enumeration DateJanuary 6, 2011

Last NPPES UpdateJuly 28, 20255 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1326342239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in SC · 4436

1565 SAM RITTENBERG BLVD STE 201, Charleston, SC 29407

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Penelope Lynn Vachon Dnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MELISA SUZANNE COFFIN APRN

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