Individual provider Active NPI

Mame Maguette Godo

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1710760368
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R189487 Issued in MD
Practice address
1305 W 7TH St Ste 28
Frederick, MD 21702-4100
Phone
(301) 228-3600
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R189487 MD Primary

Addresses

Primary practice location

1305 W 7TH St Ste 28
Frederick, MD 21702-4100

Mailing address

3301 Velvet Valley Dr
West Friendship, MD 21794-9430
Phone (443) 823-3409

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
I20231113000070 MD Practitioner - Nurse Practitioner 5092162115 Reassigns benefits to 4 organizations
I20250924002759 DC Practitioner - Nurse Practitioner 5092162115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians
Mep Observation Services LLCGroup PAC ID 2365611845, 42 clinicians

Practice addresses (Care Compare)

1011 Baltimore Blvd
Westminster, MD 21157-7055
Phone (410) 848-3990

1311 Londontown Blvd
Suite 130
Eldersburg, MD 21784-6556
Phone (410) 549-7222

1505 E Churchville Rd
Bel Air, MD 21014-4742

2401 E Belvedere Ave
Baltimore, MD 21215-5216

504 E Ridgeville Blvd
A
Mount Airy, MD 21771-5942
Phone (301) 703-5452

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200

9122 Hinks LN
Frederick, MD 21704-7005
Phone (240) 341-2654

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Oct 1, 2025 Accepting new patients
Mep Observation Services LLC CurrentSince Jan 1, 2025 Accepting new patients
Mep Observation Services LLC CurrentSince Jan 1, 2025 Accepting new patients
MNR Industries LLC Current Accepting new patients
U N I Medical Care Inc CurrentSince Sep 27, 2023 Accepting new patients
MNR Industries LLC CurrentSince Oct 1, 2025 Accepting new patients
MNR Industries, LLC CurrentSince Oct 1, 2025 Accepting new patients
Mep Health, LLC CurrentSince Jan 1, 2025 Accepting new patients
MNR Industries, LLC Current Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

12272 Clarksville Pike
#A
Clarksville, MD 21029
Phone (443) 656-0306

6030 Daybreak Cir
Ste A150179
Clarksville, MD 21029

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1305 W 7th St
Ste 28
Frederick, MD 21702
Phone (301) 228-3600

11236 Robinwood Dr
Ste 101
Hagerstown, MD 21742
Phone (240) 313-4242

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

826 Washington Rd
Ste 110A
Westminster, MD 21157
Phone (410) 751-7480

Organizations & group practices 9

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 3

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1710760368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 VELVET VALLEY DR",
            "city": "WEST FRIENDSHIP",
            "state": "MD",
            "postal_code": "217949430",
            "telephone_number": "443-823-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 7TH ST STE 28",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024100",
            "telephone_number": "301-228-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODO",
        "first_name": "MAME MAGUETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R189487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.