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

Grace Mbakop

Individual provider Family Nurse Practitioner · NPI 1023839800

Grace Mbakop is a Nurse Practitioner in Gwynn Oak, Maryland. Qualified in 2023, 3 years ago. Practices with Cannakush Consulting Office LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2024
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Practice location Address checks out

7131 Liberty Rd Ste 100
Gwynn Oak, MD 21207-4580
Phone: (443) 200-5338
Fax: (443) 200-5261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5411 Old Frederick Rd Ste 18, Baltimore, MD 21229-2126 — (443) 750-0222

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R235493 (MD)

Record details

NPI number1023839800
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 23, 2024
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address2803 Gresham Way Unit 201, Windsor Mill, MD 21244-3939

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 Cannakush Consulting Office Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gwynn Oak