Individual provider Active NPI

Mercedes Ankomah-Vabi, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Horsham, PA
National Provider Identifier
1063889335
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029995 Issued in PA
Practice address
680 Blair Mill Rd
Horsham, PA 19044-2223
Phone
(717) 714-1382
Fax
(877) 383-8544
NPI assigned
Aug 21, 2015
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP019209 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029995 PA Primary

Addresses

Primary practice location

680 Blair Mill Rd
Horsham, PA 19044-2223

Mailing address

7139 S Sentinel LN
York, PA 17403-9486
Phone (717) 714-1382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160105002678 NY Practitioner - Nurse Practitioner 6507168739 Reassigns benefits to 2 organizations
I20181112001478 PA Practitioner - Nurse Practitioner 6507168739 Reassigns benefits to 2 organizations
I20241206000753 MD Practitioner - Nurse Practitioner 6507168739 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019209PAMDFamily Nurse Practitioner
SP029995PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 27, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Aug 27, 2020 Accepting new patients
Hearts and Minds Healthcare Services PLLC Current Accepting new patients
Mobile Primary Care Family Nurse Practitioners, PLLC Family CurrentSince Nov 2, 2015 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 4, 2024 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Mar 13, 2016 Accepting new patients
Cogent Medical Care PC CurrentSince Dec 1, 2015 Accepting new patients

Locations

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

640 Ellicott St
Ste 105
Buffalo, NY 14203
Phone (716) 218-7169

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

515 Main St
Olean, NY 14760
Phone (716) 373-2600

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

2350 Freedom Way
Ste 200
York, PA 17402
Phone (717) 812-5120

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1063889335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7139 S SENTINEL LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174039486",
            "telephone_number": "717-714-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BLAIR MILL RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442223",
            "telephone_number": "717-714-1382",
            "fax_number": "877-383-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKOMAH-VABI",
        "first_name": "MERCEDES",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019209",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

Verify at the official NPI Registry.