Individual provider Active NPI

Irene Nkem

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1003682840
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP028025 Issued in PA
Practice address
2192 Versailles Dr
Harrisburg, PA 17112-1444
Phone
(312) 401-6646
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP028025 PA Primary

Addresses

Primary practice location

2192 Versailles Dr
Harrisburg, PA 17112-1444

Mailing address

2192 Versailles Dr
Harrisburg, PA 17112-1444
Phone (312) 401-6646

Other practice location 1

4824 Londonderry Rd
Harrisburg, PA 17109-5245
Phone (223) 212-0944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002085 PA Practitioner - Nurse Practitioner 9931543550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 clinicians

Practice addresses (Care Compare)

146 E King St
Unit 1022
Lancaster, PA 17602-2832
Phone (301) 593-1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP028025PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychogeriatric Services LLC CurrentSince Mar 12, 2024 Accepting new patients
Serene Multi Wellness Services LLC Psychiatric/Mental Health CurrentSince Dec 10, 2023 Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

700 Walnut Bottom Rd
Carlisle, PA 17013
Phone (717) 960-7700

595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249

4824 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 547-5478

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1003682840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2192 VERSAILLES DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121444",
            "telephone_number": "312-401-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2192 VERSAILLES DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121444",
            "telephone_number": "312-401-6646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4824 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095245",
            "country_code": "US",
            "telephone_number": "223-212-0944",
            "fax_number": "717-256-0357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NKEM",
        "first_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP028025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.