TUCKER STEVEN MENDONCA FNP
NPI 1609701929
Nurse Practitioner - Family in Charleston, SC

Active since June 17, 2026PECOS Enrolled
2085 HENRY TECKLENBURG DR, CHARLESTON, SC 29414(843) 577-6957(843) 577-6523 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2026, Jul 22, 2026 (2 updates tracked since 2026).

About Tucker Steven Mendonca Fnp NPPES

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

TUCKER STEVEN MENDONCA FNP (NPI 1609701929) is an individual family provider in Charleston, South Carolina, licensed in South Carolina (32314) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1609701929
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTUCKER STEVEN MENDONCACredential: FNP
Location Address2085 HENRY TECKLENBURG DRCharleston, SC 29414-7710
Mailing AddressPo Box 632509Cincinnati, OH 45263-2509 · (888) 472-0043 · Fax (513) 653-4122
Fax(843) 577-6523
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 17, 2026
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1609701929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 32314
Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License RN10002778 (MA)
2085 HENRY TECKLENBURG DR, Charleston, SC 29414

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tucker Steven Mendonca Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416414255
PECOS Enrollment IDI20260811004247
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tucker Mendonca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hematology & Oncology
2085 HENRY TECKLENBURG DR
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • 129 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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 20

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

Internal Medicine (Pulmonary Disease)
2085 HENRY TECKLENBURG DR, SUITE 320
CHARLESTON, SC 29414
Internal Medicine (Hematology & Oncology)
2085 HENRY TECKLENBURG DR, 2ND FLOOR
CHARLESTON, SC 29414
Internal Medicine (Hematology & Oncology)
2085 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Internal Medicine (Hematology & Oncology)
2085 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Surgery
2085 HENRY TECKLENBURG DR, SUITE 310
CHARLESTON, SC 29414
Internal Medicine (Hematology & Oncology)
2085 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Nurse Practitioner (Family)
2085 HENRY TECKLENBURG DR
CHARLESTON, SC 29414
Nurse Practitioner (Acute Care)
2085 HENRY TECKLENBURG DR
CHARLESTON, SC 29414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tucker Mendonca's NPI number?

The NPI number for Tucker Mendonca is 1609701929. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Tucker Mendonca located?

Tucker Mendonca practices at 2085 Henry Tecklenburg Dr, Charleston, SC 29414. The listed phone number is (843) 577-6957.

What is Tucker Mendonca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tucker Mendonca enrolled in Medicare?

Yes. Tucker Mendonca is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tucker Mendonca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tucker Mendonca reassigns Medicare benefits to Bon Secours St Francis Xavier Hospital, Inc. (Charleston, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tucker Mendonca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tucker Mendonca affiliated with any hospitals?

According to CMS data, Tucker Mendonca is affiliated with Bon Secours-St Francis Xavier Hospital.

When was this NPI record last updated?

The NPPES record for Tucker Mendonca was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.