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

Khadeja Qubla Ibn Baidoo, CRNP

Individual provider Registered Nurse · NPI 1104467414

Khadeja Qubla Ibn Baidoo, CRNP is a Nurse Practitioner in Frederick, Maryland. Qualified in 2019, 7 years ago. Practices with Meritus Medical Center Inc, a 746-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

4843 Marsden Pl
Frederick, MD 21703-6822
Phone: (571) 275-6765
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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 R214238 (MD)
Registered Nurse Taxonomy 163W00000X · Licence R214238 (MD)

Record details

NPI number1104467414
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedOctober 8, 2019
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

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 Meritus Medical Center Inc — 746 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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