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

Gladys Momoh

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1043567670

Gladys Momoh is a Nurse Practitioner in Upper Marlboro, Maryland. Qualified in 2024, 2 years ago. Practices with Bon Ridge Wellness LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2012
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Practice location Address checks out

10081 Campus Way S
Upper Marlboro, MD 20774-2103
Phone: (202) 704-2920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R246488 (MD)

Record details

NPI number1043567670
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2012
Last updated in NPPESMarch 20, 2025
Certification dateMarch 15, 2025
Mailing address1303 Minnesota Way, Upper Marlboro, MD 20774-6065

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Bon Ridge Wellness Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Upper Marlboro