MARY CATHERINE LASATER
NPI 1760904114
Nurse Practitioner - Family in Charleston, SC

Q: What is Mary Lasater's NPI number?

The NPI number for Mary Lasater is 1760904114. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Q: What is Mary Lasater's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Lasater was last updated on December 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2017PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2019, Nov 15, 2018, Jul 7, 2017 (3 updates tracked since 2017).

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About Mary Catherine Lasater NPPES

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

MARY CATHERINE LASATER (NPI 1760904114) is an individual family provider in Charleston, South Carolina, licensed in South Carolina (21076) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Holly Hill.

NPPES Registry Identity

NPI1760904114

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY CATHERINE LASATER

Location Address171 ASHLEY AVECharleston, SC 29425-0100

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(843) 792-1414

Sole ProprietorNo

Enumeration DateJuly 7, 2017

Last NPPES UpdateDecember 23, 20193 updates tracked since enumeration

✔ NPI 1760904114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in SC · 21076

171 ASHLEY AVE, Charleston, SC 29425

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Secondary Practice Location 1

Location 1922 Holly StHolly Hill, SC 29059-2762 · Phone (803) 531-6900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Catherine Lasater is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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.

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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.

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Allergy & Immunology