Active NPI
Esenam Dankwa, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5017651
- Practice address
- 1450 Fern Creek Dr
Statesville, NC 28625-9376 - Phone
- (704) 818-9191
- Fax
- (704) 872-3782
- NPI assigned
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5017651 | NC | Primary |
Addresses
Primary practice location
1450 Fern Creek Dr
Statesville, NC 28625-9376
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230320002923 | NC | Practitioner - Nurse Practitioner | 8426422114 | Reassigns benefits to 1 organization |
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
Practice addresses (Care Compare)
991 W Hudson Blvd
Gastonia, NC 28052-6430
Phone (704) 853-5079
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc. | Current | Accepting new patients | |
| Gaston Family Health Services, Inc | Current | Accepting new patients |
Locations
991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
1703 Davie Ave
Statesville, NC 28677
Phone (704) 818-9191
1450 Fern Creek Dr
Statesville, NC 28625
Phone (704) 818-9191
Interoperability endpoints
- edankwa622183@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
NC
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1306644315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1093428013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 FERN CREEK DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286259376",
"telephone_number": "704-818-9191",
"fax_number": "704-872-3782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANKWA",
"first_name": "ESENAM",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5017651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.