Individual provider Active NPI

Akwetey Mensah Akrong, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Warrenville, IL
National Provider Identifier
1275824484
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.023167 Issued in IL
Practice address
28375 Davis Pkwy Ste 903
Warrenville, IL 60555-3030
Phone
(312) 471-1639
Fax
(331) 204-0806
NPI assigned
Apr 21, 2011
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 209.023167 IL Primary

Addresses

Primary practice location

28375 Davis Pkwy Ste 903
Warrenville, IL 60555-3030

Mailing address

28375 Davis Pkwy Ste 903
Warrenville, IL 60555-3030
Phone (312) 471-1639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240828001233 IL Practitioner - Nurse Practitioner 4688052749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28375 Davis Pkwy
Suite 903
Warrenville, IL 60555-3030
Phone (312) 471-1639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.023167ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reverence Behavioral Health Services LLC Psychiatric/Mental Health CurrentSince May 11, 2024 Accepting new patients

Locations

1415 W 22nd St
Fl Tower
Oak Brook, IL 60523
Phone (312) 471-1639

28375 Davis Pkwy
Ste 903
Warrenville, IL 60555
Phone (312) 376-1767

Organizations & group practices 1

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": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1275824484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28375 DAVIS PKWY STE 903",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553030",
            "telephone_number": "312-471-1639",
            "fax_number": "331-204-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28375 DAVIS PKWY STE 903",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553030",
            "telephone_number": "312-471-1639",
            "fax_number": "331-204-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKRONG",
        "first_name": "AKWETEY",
        "middle_name": "MENSAH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.023167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.