CANNAKUSH CONSULTING OFFICE LLC
NPI 1215528369
Clinic/Center - Primary Care in Baltimore, MD
About Cannakush Consulting Office Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANNAKUSH CONSULTING OFFICE LLC (NPI 1215528369) is a healthcare organization registered as a primary care in Baltimore, Maryland and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Betsy Moore, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cannakush Consulting Office Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Cannakush Consulting Office LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2215288
Cannakush Consulting Office LLC · Baltimore, MDFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cannakush Consulting Office LLC's NPI number?
The NPI number for Cannakush Consulting Office LLC is 1215528369. It was assigned to this organization in the NPPES registry on February 1, 2021.
Where is Cannakush Consulting Office LLC located?
Cannakush Consulting Office LLC is located at 5411 Old Frederick Rd Ste 18, Baltimore, MD 21229. The listed phone number is (443) 750-0222.
What is Cannakush Consulting Office LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Cannakush Consulting Office LLC enrolled in Medicare?
Yes. Cannakush Consulting Office LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cannakush Consulting Office LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Cannakush Consulting Office LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cannakush Consulting Office LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2215288) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Cannakush Consulting Office LLC was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cannakush Consulting Office Llc · NPI 1215528369
Primary Care organization in Baltimore, Maryland. Organization record, active in the CMS NPPES registry since February 1, 2021.
## Identity
- **NPI:** 1215528369 (Entity type: Organization)
- **Enumerated:** February 1, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Betsy Moore, OWNER
## Practice location
- **Address:** 5411 OLD FREDERICK RD STE 18, Baltimore, MD 21229-2126
- **Phone:** (443) 750-0222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215528369) · Data from the CMS NPPES public registry.