Active NPI
Marinet Ade Kamga, NP
- Gerontology Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R169743
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R169743 | MD | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PA Post Acute Services PC | Current | 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.
-
- Nurse Practitioner
- Baltimore, MD
- NPI 1730897141
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Forest Hill, MD
- NPI 1528352747
-
- Home Health Agency
- Columbia, MD
- NPI 1558680447
-
- Home Health Agency
- Glen Burnie, MD
- NPI 1578501789
-
- Home Health Agency
- Towson, MD
- NPI 1902843451
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.