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

MS. Danita Custis

Individual provider Family Nurse Practitioner · NPI 1528946266

MS. Danita Custis is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2025, 1 year ago. Practices with Mace Medical LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
1
Licensed in
MD
In the registry since
2025
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Practice location Address checks out

5610 Harford Rd
Baltimore, MD 21214-2247
Phone: (443) 405-8005
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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 R208603 (MD)

Record details

NPI number1528946266
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2025
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025
Mailing address5610 Harford Rd, Baltimore, MD 21214-2247

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mace Medical Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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