Individual provider Active NPI

Josyane Kengni, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1841750205
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R210262 Issued in MD
Practice address
5301 Buckeystown Pike Ste 308
Frederick, MD 21704-8373
Phone
(301) 246-0423
Fax
(949) 655-7796
NPI assigned
Mar 21, 2019
Last updated
Sep 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 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 R210262 MD Primary

Addresses

Primary practice location

5301 Buckeystown Pike Ste 308
Frederick, MD 21704-8373

Mailing address

5301 Buckeystown Pike Ste 308
Frederick, MD 21704-8373
Phone (240) 205-3576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190911003050 DC Practitioner - Nurse Practitioner 3678802956 Reassigns benefits to 1 organization
I20200327000766 MD Practitioner - Nurse Practitioner 3678802956 Reassigns benefits to 2 organizations
I20260210000561 WV Practitioner - Nurse Practitioner 3678802956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kema Health ServicesGroup PAC ID 1355766643, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

121 W Washington St
2A
Charles Town, WV 25414-1529
Phone (443) 862-1475

226 S Jefferson St
Frederick, MD 21701-6205
Phone (301) 663-0011

5301 Buckeystown Pike
Suite 308
Frederick, MD 21704-8373
Phone (301) 246-0423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R210262MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Assoc of Frederick Cty CurrentSince Mar 2, 2020 Accepting new patients
Mental Health Assoc of Frederick Cty CurrentSince Mar 2, 2020 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Aug 15, 2019 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (205) 593-7605

226 S Jefferson St
Frederick, MD 21701
Phone (301) 663-0011

604 S Frederick Ave
Ste 211
Gaithersburg, MD 20877
Phone (301) 330-6470

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

Organizations & group practices 7

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1841750205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE STE 308",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048373",
            "telephone_number": "240-205-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE STE 308",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048373",
            "telephone_number": "301-246-0423",
            "fax_number": "949-655-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENGNI",
        "first_name": "JOSYANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.