Individual provider Active NPI

Glory Ihuoma Wabeke, DNP, NP

  • Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1598432429
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R173002 Issued in MD
Practice address
8301 Ashford Blvd Apt 322
Laurel, MD 20707-5639
Phone
(443) 554-0259
NPI assigned
Aug 27, 2021
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R173002 MD Primary

Addresses

Primary practice location

8301 Ashford Blvd Apt 322
Laurel, MD 20707-5639

Mailing address

8301 Ashford Blvd Apt 322
Laurel, MD 20707-5639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20220106000821 DC Practitioner - Nurse Practitioner 7214328178 Reassigns benefits to 1 organization
I20251119003156 MD Practitioner - Nurse Practitioner 7214328178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PA Post Acute Services PCGroup PAC ID 7911374905, 35 clinicians

Practice addresses (Care Compare)

1217 W Fayette St
Baltimore, MD 21223-1938
Phone (410) 727-3947

2525 W Belvedere Ave
Baltimore, MD 21215-5203
Phone (410) 367-9100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R173002MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Aug 5, 2024 Accepting new patients
Kurup Wound Care, Inc. CurrentSince Oct 20, 2025 Accepting new patients

Locations

1505 Maryland Ave NE
Washington, DC 20002
Phone (202) 396-1780

900 Van Buren St
Annapolis, MD 21403
Phone (301) 933-2500

1835 University Blvd E
Ste 208
Hyattsville, MD 20783
Phone (301) 445-3501

4922 Lasalle Rd
Hyattsville, MD 20782
Phone (301) 445-3501

Interoperability endpoints

  • Direct secure messaging: glory.wabeke.p4@direct.caremoreagp.nextgenshare.com

Organizations & group practices 5

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1598432429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 ASHFORD BLVD APT 322",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ASHFORD BLVD APT 322",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075639",
            "telephone_number": "443-554-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WABEKE",
        "first_name": "GLORY",
        "middle_name": "IHUOMA",
        "name_prefix": "Dr.",
        "credential": "DNP, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R173002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.