Individual provider Active NPI

Marinet Ade Kamga, NP

  • Gerontology Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1356967855
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R169743 Issued in MD
Practice address
604 N Eutaw St
Baltimore, MD 21201-4515
Phone
(301) 646-4891
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R169743 MD Primary
Medical-Surgical Registered Nurse 163WM0705X R169743 MD

Addresses

Primary practice location

604 N Eutaw St
Baltimore, MD 21201-4515

Mailing address

604 N Eutaw St
Baltimore, MD 21201-4515
Phone (301) 646-4891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20210331000146 MD Practitioner - Nurse Practitioner 4486061819 Reassigns benefits to 3 organizations
I20210503000596 DC Practitioner - Nurse Practitioner 4486061819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians

Practice addresses (Care Compare)

100 Laurel Dr
Elkton, MD 21921-5328
Phone (410) 398-8800

512 Winifred Rd
Cumberland, MD 21502-6396
Phone (301) 724-6066

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R169743MDMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Jan 31, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

144 Washington Rd
Edgewater, MD 21037
Phone (410) 956-5000

100 Laurel Dr
Elkton, MD 21921
Phone (410) 398-8800

3000 McComas Ave
Kensington, MD 20895
Phone (301) 491-3090

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1356967855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N EUTAW ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014515",
            "telephone_number": "301-646-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N EUTAW ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014515",
            "telephone_number": "301-646-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMGA",
        "first_name": "MARINET",
        "middle_name": "ADE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R169743",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MD",
            "license": "R169743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.