Individual provider Active NPI

Grace Manglet, DNP ( PMH-NP-BC)

  • Psychiatric/Mental Health Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1013206655
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R226503 Issued in MD
Practice address
18403 Woodfield Rd Ste D
Gaithersburg, MD 20879-4794
Phone
(301) 250-0404
Fax
(301) 637-7970
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401339 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R226503 MD Primary

Addresses

Primary practice location

18403 Woodfield Rd Ste D
Gaithersburg, MD 20879-4794

Mailing address

18403 Woodfield Rd Ste D
Gaithersburg, MD 20879-4794
Phone (301) 250-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120910000834 NY Practitioner - Nurse Practitioner 2961650304 Reassigns benefits to 1 organization
I20170626000576 DC Practitioner - Nurse Practitioner 2961650304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18403 Woodfield Rd
Suite D
Gaithersburg, MD 20879-4794
Phone (301) 250-5830

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R226503MDMDPsychiatric/Mental Health Nurse Practitioner
F401339NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zohar Maxcare Inc. CurrentSince Feb 5, 2021 Accepting new patients
Community Connections Inc CurrentSince May 26, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

801 Pennsylvania Ave SE
Ste 201
Washington, DC 20003
Phone (202) 281-3988

18403 Woodfield Rd
Ste D
Gaithersburg, MD 20879
Phone (301) 250-0404

365 Sunrise Hwy
Lynbrook, NY 11563
Phone (516) 593-5744

Interoperability endpoints

  • Direct secure messaging: grace.manglet@zh-md.direct.office.nextgen.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1013206655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18403 WOODFIELD RD STE D",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794794",
            "telephone_number": "301-250-0404",
            "fax_number": "301-637-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18403 WOODFIELD RD STE D",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794794",
            "telephone_number": "301-250-0404",
            "fax_number": "301-637-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGLET",
        "first_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "DNP ( PMH-NP-BC)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401339",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R226503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.