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

Conrad Joshua Shakes

Individual provider Family Nurse Practitioner · NPI 1811529787

Conrad Joshua Shakes is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2019, 7 years ago. Practices with Crh MD Management LLC, a 70-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2020
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Practice location Address checks out

323 N Calvert St
Baltimore, MD 21202-3611
Phone: (410) 332-9773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R215432 (MD)

Record details

NPI number1811529787
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 10, 2020
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Crh Md Management Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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