MRS. MARY GRACE LEGASPI WILD MSN, RN, AGPCNP-BC
NPI 1528927647
Nurse Practitioner - Adult Health in Glenn Dale, MD

Q: What is Mary Grace Wild's NPI number?

The NPI number for Mary Grace Wild is 1528927647. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Q: What is Mary Grace Wild's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Grace Wild was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since January 16, 2026

12200 ANNAPOLIS RD STE 115, GLENN DALE, MD 20769(301) 805-7084 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Mrs. Mary Grace Legaspi Wild Msn, Rn, Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY GRACE LEGASPI WILD MSN, RN, AGPCNP-BC (NPI 1528927647) is an individual adult health provider in Glenn Dale, Maryland, licensed in Maryland (R164664) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1528927647

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. MARY GRACE LEGASPI WILDCredential: MSN, RN, AGPCNP-BC

Location Address12200 ANNAPOLIS RD STE 115Glenn Dale, MD 20769-9182

Mailing Address4335 Slater AveNottingham, MD 21236-2725 · (301) 805-7084

Phone(301) 805-7084

Sole ProprietorNo

Enumeration DateJanuary 16, 2026

NPPES CertifiedJanuary 15, 2026

✔ NPI 1528927647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MD · R164664

12200 ANNAPOLIS RD STE 115, Glenn Dale, MD 20769

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Frequently 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 Mary Grace Wild's NPI number?

The NPI number for Mary Grace Wild is 1528927647. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Where is Mary Grace Wild located?

Mary Grace Wild practices at 12200 Annapolis Rd Ste 115, Glenn Dale, MD 20769. The listed phone number is (301) 805-7084.

What is Mary Grace Wild's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Grace Wild was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.