Grace Mbakop

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R235493 Issued in MD

Practice address

7131 Liberty Rd Ste 100
Gwynn Oak, MD 21207-4580

Phone

(443) 200-5338

Fax

(443) 200-5261

NPI assigned

Oct 23, 2024

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cannakush Consulting Office LLCGroup PAC ID 6305203308, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJDEDD/Endpoint/IJDEDD

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.

• Cannakush Consulting Office LLC

  • Primary Care Clinic/Center
  • Baltimore, MD
  • NPI 1215528369

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Cannakush Consulting Office LLC

  dba KeyeWellness Treatment

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1891688529
  NPD

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1023839800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 GRESHAM WAY UNIT 201",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212443939",
            "telephone_number": "301-674-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 LIBERTY RD STE 100",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074580",
            "telephone_number": "443-200-5338",
            "fax_number": "443-200-5261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5411 Old Frederick Rd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212292126",
            "country_code": "US",
            "telephone_number": "443-750-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBAKOP",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R235493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marathon Community Wellness. Inc.
• Maryland General Clinical Practice Group, Inc.
• Johari Makeba Massey, M.A., M.S., PH.D.
• Kristin Yolanda Matthews, LPC
• Stella Ebere Mbah, CRNP
• Bobby C McQueen-Bey, LCADC
• Mdics at Umroi, LLC
• Isa Elizabeth Mejia, BT
• Kristen Camille Millender, DDS
• Nicole Millner

• Family Nurse Practitioner in Gwynn Oak, MD
• Providers in Gwynn Oak, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.