Individual provider Active NPI

Evelyn Mensah, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1154950152
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP021731 Issued in PA
Practice address
2501 Oregon Pike
Lancaster, PA 17601-4890
Phone
(717) 735-1954
Fax
(717) 569-3045
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 SP021731 PA Primary

Addresses

Primary practice location

2501 Oregon Pike
Lancaster, PA 17601-4890

Mailing address

324 Bethel Dr
Lancaster, PA 17601-2435
Phone (717) 318-1705

Other practice location 1

1001 S George St
York, PA 17403-3676
Phone (717) 851-2304

Other practice location 2

324 Bethel Dr
Lancaster, PA 17601-2435
Phone (717) 318-1705

Other identifiers 4

IdentifierTypeStateIssuer
103764595MedicaidPA
14657908OtherCAQH ID
RN684708OtherPASTATE LICENSE - RN
SP021731OtherPASTATE LICENSE - CRNP

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Lancaster
Other URL Lancaster

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
I20200603000099 PA Practitioner - Nurse Practitioner 3577984335 Reassigns benefits to 2 organizations

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
PhilhavenGroup PAC ID 8729991419, 93 clinicians

Practice addresses (Care Compare)

1830 Colonial Village LN
Lancaster, PA 17601-6700
Phone (717) 478-8291

2501 Oregon Pike
Lancaster, PA 17601-4890
Phone (717) 735-1954

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP021731PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven CurrentSince Apr 1, 2020 Accepting new patients
Philhaven Current Accepting new patients
Philhaven CurrentSince Apr 1, 2020 Accepting new patients
Em&E Health, PLLC Psychiatric/Mental Health CurrentSince Oct 9, 2021 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

812 N Prince St
Lancaster, PA 17603
Phone (717) 509-9845

2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954

2501 Oregon Pike
Lancaster, PA 17601
Phone (717) 735-1954

2173 Embassy Dr
Lancaster, PA 17603
Phone (217) 553-9555

1830 Colonial Village Ln
Lancaster, PA 17601
Phone (267) 217-3329

204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777

Interoperability endpoints

  • Direct secure messaging: emensah224514@wellspan.direct-ci.com

Organizations & group practices 5

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154950152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 BETHEL DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012435",
            "telephone_number": "717-318-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014890",
            "telephone_number": "717-735-1954",
            "fax_number": "717-569-3045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2304",
            "fax_number": "717-851-3374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 Bethel Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012435",
            "country_code": "US",
            "telephone_number": "717-318-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENSAH",
        "first_name": "EVELYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-03-07",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103764595",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "14657908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - RN",
            "identifier": "RN684708",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - CRNP",
            "identifier": "SP021731",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lancaster",
            "affiliation": "N",
            "address_1": "812 N Prince St",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176032732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lancaster",
            "affiliation": "N",
            "address_1": "324 Bethel Dr",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176012435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.