Individual provider Active NPI

Sylvanus Brenya Mensah, DNP, AGNP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1528731528
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R227673 Issued in MD
Practice address
1040 Park Ave Ste 200
Baltimore, MD 21201-5634
Phone
(443) 738-0300
Fax
(443) 738-0301
NPI assigned
Jul 27, 2021
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R227673 MD Primary

Addresses

Primary practice location

1040 Park Ave Ste 200
Baltimore, MD 21201-5634

Mailing address

10175 Little Patuxent Pkwy Ste 800
Columbia, MD 21044-2655
Phone (667) 400-0483

Other practice location 1

5200 Eastern Ave Fl Tower2
Baltimore, MD 21224-2734
Phone (410) 550-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20211203002049 MD Practitioner - Nurse Practitioner 7315337425 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Medical System, Inc. CurrentSince Apr 11, 2024 Accepting new patients
Absolutecare of Baltimore, LLC CurrentSince May 25, 2024 Accepting new patients
Poimano Healthcare Services Current Accepting new patients
Johns Hopkins University CurrentSince Nov 17, 2021 Accepting new patients
Johns Hopkins University Current Accepting new patients
Leads Recovery Center LLC Current Accepting new patients

Locations

2140 Peachtree Rd NW
Ste 232
Atlanta, GA 30309
Phone (888) 708-0561

1040 Park Ave
Ste 200
Baltimore, MD 21201
Phone (443) 738-0300

4940 Eastern Ave
Baltimore, MD 21224

5200 Eastern Ave
#2
Baltimore, MD 21224
Phone (410) 550-2999

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

10175 Little Patuxent Pkwy
Ste 800
Columbia, MD 21044

1000 Stewart Ave
Glen Burnie, MD 21061

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Organizations & group practices 6

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1528731528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 LITTLE PATUXENT PKWY STE 800",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442655",
            "telephone_number": "667-400-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 PARK AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015634",
            "telephone_number": "443-738-0300",
            "fax_number": "443-738-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Eastern Ave Fl Tower2",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242734",
            "country_code": "US",
            "telephone_number": "410-550-2999",
            "fax_number": "410-367-2443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENSAH",
        "first_name": "SYLVANUS",
        "middle_name": "BRENYA",
        "name_prefix": "Dr.",
        "credential": "DNP, AGNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R227673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.