Individual provider Active NPI

Leeann Mentzer, MSN, CRNA

  • Certified Registered Nurse Anesthetist
  • Salisbury, MD
National Provider Identifier
1457899833
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R201568 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 546-6400
NPI assigned
Feb 6, 2017
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R201568 MD Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

37 Driftwood LN
Ocean Pines, MD 21811-1552
Phone (443) 286-9829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170508001744 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981981529 Reassigns benefits to 2 organizations
I20260127000297 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981981529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Delaware LLCGroup PAC ID 8022428416, 125 clinicians
Tidewater Anesthesia Associates, PAGroup PAC ID 1254300361, 35 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 430-5738

219 S Washington St
Easton, MD 21601-2996
Phone (410) 822-1000

640 S State St
Dover, DE 19901-3530
Phone (302) 674-4700

701 N Clayton St
Wilmington, DE 19805-3165
Phone (214) 687-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
R201568MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Delaware, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Tidewater Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Anesthesia Company, LLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2022 Accepting new patients

Locations

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

219 S Washington St
Easton, MD 21601

6 Caulk Ln
Easton, MD 21601
Phone (410) 822-5552

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Interoperability endpoints

  • Direct secure messaging: lmentzer927182@direct.umm.edu

Organizations & group practices 3

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 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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1457899833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 DRIFTWOOD LN",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218111552",
            "telephone_number": "443-286-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTZER",
        "first_name": "LEEANN",
        "credential": "MSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R201568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.