NPIMap

Individual provider Active NPI

Mercy N Odoom Gyapong, CRNP

  • Family Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1093359572
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020839 Issued in PA
Practice address
4400 Carlisle Pike
Camp Hill, PA 17011-4132
Phone
(717) 975-9800
NPI assigned
Oct 29, 2019
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020839 PA Primary

Addresses

Primary practice location

4400 Carlisle Pike
Camp Hill, PA 17011-4132

Mailing address

4400 Carlisle Pike
Camp Hill, PA 17011-4132

Other identifiers 1

IdentifierTypeStateIssuer
103719615MedicaidPA

Other names 1

  • Mercy N Odoom Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address modoom156603@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122000276 PA Practitioner - Nurse Practitioner 4880029867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

4400 Carlisle Pike
Camp Hill, PA 17011-4132
Phone (717) 231-8360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020839PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2020 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

4400 Carlisle Pike
Camp Hill, PA 17011
Phone (717) 975-9800

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

Interoperability endpoints

  • Direct secure messaging: modoom298518@upmc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1093359572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 CARLISLE PIKE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 CARLISLE PIKE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114132",
            "telephone_number": "717-975-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOOM GYAPONG",
        "first_name": "MERCY",
        "middle_name": "N",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103719615",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "modoom156603@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4400 Carlisle Pike",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MERCY",
            "last_name": "ODOOM",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.