Active NPI
Deborah A Mentzer, CRNP, PMH
- Psychiatric/Mental Health Nurse Practitioner
- Lancaster, PA
National Provider Identifier
1477946242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP014277
- Practice address
- 750 Eden Rd
Lancaster, PA 17601-4712 - Phone
- (717) 399-7381
- Fax
- (717) 391-7517
- NPI assigned
- Mar 18, 2015
- 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 | SP014277 | PA | Primary |
Addresses
Primary practice location
750 Eden Rd
Lancaster, PA 17601-4712
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 270-2451
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN233545L | Other | PA | STATE LICENSE - RN |
| 103076720 | Medicaid | PA | |
| 13608593 | Other | CAQH | |
| SP014277 | Other | PA | STATE LICENSE CRNP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1477946242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE STE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-709-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 EDEN RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014712",
"telephone_number": "717-399-7381",
"fax_number": "717-391-7517"
}
],
"practiceLocations": [
{
"address_1": "283 S Butler Rd",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170428939",
"country_code": "US",
"telephone_number": "717-270-2451",
"fax_number": "717-675-2830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENTZER",
"first_name": "DEBORAH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "CRNP, PMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2023-03-07",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP014277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - RN",
"identifier": "RN233545L",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103076720",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13608593",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE CRNP",
"identifier": "SP014277",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.