Individual provider Active NPI

Grace Akinpetide, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Largo, MD
National Provider Identifier
1619206745
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R170998 Issued in MD
Practice address
1400 Mercantile LN Ste 242
Largo, MD 20774-5353
Phone
(301) 381-2320
NPI assigned
Dec 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024168530 VA
Family Nurse Practitioner 363LF0000X R170998 MD
Family Nurse Practitioner 363LF0000X RN1006812 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R170998 MD Primary

Addresses

Primary practice location

1400 Mercantile LN Ste 242
Largo, MD 20774-5353

Mailing address

1400 Mercantile LN Ste 242
Largo, MD 20774-5353
Phone (301) 381-2320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20150608000590 DC Practitioner - Nurse Practitioner 2062730815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1006812DCMDFamily Nurse Practitioner
0024168530VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eg Family Practice and Psychiatry Services Inc Current Accepting new patients
New Horizon Behavioral & Wellness Center Family CurrentSince Aug 1, 2025 Accepting new patients

Locations

1400 Mercantile Ln
Ste 242
Upper Marlboro, MD 20774
Phone (301) 381-2320

Organizations & group practices 2

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": "1261267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1619206745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 242",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745353",
            "telephone_number": "301-381-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 242",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745353",
            "telephone_number": "301-381-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINPETIDE",
        "first_name": "GRACE",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-20",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168530",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R170998",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1006812",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R170998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.