Individual provider Active NPI

Henry N Mensack, P.A.-C

  • Physician Assistant
  • Milford, DE
National Provider Identifier
1104802925
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000229 Issued in DE
Practice address
329 Mullet Run
Milford, DE 19963-5373
Phone
(410) 749-4154
Fax
(410) 860-9583
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000229 DE Primary

Addresses

Primary practice location

329 Mullet Run
Milford, DE 19963-5373

Mailing address

PO Box 607
Georgetown, DE 19947-0607
Phone (302) 424-4141

Other identifiers 2

IdentifierTypeStateIssuer
1184681488OtherCOMMERCIAL INSURANCES
1104802925MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20040310000983 DE Practitioner - Physician Assistant 3779471636 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364

18383 Hudson Rd
FL 2
Milton, DE 19968-3103
Phone (302) 424-7522

640 S State St
Dover, DE 19901-3530

651 Bay Rd
Suite 1F
Dover, DE 19901-4694
Phone (302) 744-6941

Hospital & facility affiliations

  • Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Merit-based Incentive Payment System (MIPS)

Final score
22.29 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.3

Merit-based Incentive Payment System (MIPS)

Final score
44.55 of 100Reported as group
Quality
58.82
Promoting interoperability
0
Improvement activities
20
Cost
64.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Dec 1, 2024 Accepting new patients
Bayhealth Medical Center, Inc Current Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Dec 1, 2024 Accepting new patients
Premier Orthopaedic Bone and Joint Care CurrentSince Jul 1, 2020 Accepting new patients
First State Orthopaedics, PA Physician Assistant Past Accepting new patients
First State Orthopaedics, PA Physician Assistant Past Accepting new patients
First State Orthopaedics, PA Physician Assistant Past Accepting new patients
Doctors for Emergency Service Past Accepting new patients
Glen D. Rowe, D.O., P.a. Past Accepting new patients
Bayhealth Medical Center, Inc Past Accepting new patients
Tamesis Rheumatology Medicine of Delaware, P.a Past Accepting new patients
Bayhealth Medical Center, Inc. Past Accepting new patients

Locations

651 S Bay Rd
Ste F1
Dover, DE 19901
Phone (302) 730-4366

651 S Bay Rd
Ste 1F
Dover, DE 19901
Phone (302) 730-4366

724 S New St
Dover, DE 19904
Phone (302) 674-4070

640 S State St
Dover, DE 19901
Phone (302) 744-4700

540 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 672-4600

329 Mullet Run
Milford, DE 19963
Phone (302) 422-5242

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499

92 Atlantic Ave
Ocean View, DE 19970
Phone (302) 424-4141

315 N Carter Rd
Smyrna, DE 19977
Phone (302) 355-2383

100 Wellness Way
Philadelphia, PA 19182

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1104802925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199470607",
            "telephone_number": "302-424-4141",
            "fax_number": "302-422-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MULLET RUN",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635373",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSACK",
        "first_name": "HENRY",
        "middle_name": "N",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "1184681488",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104802925",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.