Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bakoh Martilda Ayukndang, CNP

Individual provider Family Nurse Practitioner · NPI 1831917897

Bakoh Martilda Ayukndang, CNP is a Nurse Practitioner in Dayton, Ohio. Qualified in 2023, 3 years ago. Practices with Complexcare Medical Group Midwest M PLLC, a 80-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2024
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

6125 N Main St
Dayton, OH 45415-3110
Phone: (937) 278-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 838 Willowbrook Dr, Monroe, OH 45050-1755 — (331) 250-2493

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0037685 (OH)

Record details

NPI number1831917897
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 30, 2024
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Complexcare Medical Group Midwest M Pllc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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