Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Nerissa Vahle, NP

Individual provider Registered Nurse · NPI 1497106017

Mary Nerissa Vahle, NP is a Nurse Practitioner in Florence, South Carolina. Qualified in 2016, 10 years ago. Practices with McLeod Physician Associates II, a 542-clinician group and accepts Medicare assignment. Licensed in Illinois and South Carolina.

Years since qualifying
10
Licensed in
IL, SC
In the registry since
2016
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1204 E Cheves St
Florence, SC 29506-2710
Phone: (843) 673-0122
Fax: (843) 661-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22829 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 041400926 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209014924 (IL)

Record details

NPI number1497106017
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice McLeod Physician Associates Ii — 542 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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