MS. DANITA CUSTIS
NPI 1528946266
Nurse Practitioner - Family in Baltimore, MD

Active since August 21, 2025PECOS Enrolled
5610 HARFORD RD, BALTIMORE, MD 21214(443) 405-8005 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 28, 2025, Sep 9, 2025 (2 updates tracked since 2025).

About Ms. Danita Custis NPPES

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

MS. DANITA CUSTIS (NPI 1528946266) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R208603) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1528946266
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DANITA CUSTIS
Location Address5610 HARFORD RDBaltimore, MD 21214-2247
Mailing Address5610 Harford RdBaltimore, MD 21214-2247 · (443) 405-8005
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 21, 2025
Last NPPES UpdateNovember 28, 20252 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
NPI 1528946266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R208603
5610 HARFORD RD, Baltimore, MD 21214

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Danita Custis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426528514
PECOS Enrollment IDI20260529002603
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
5610 HARFORD RD
BALTIMORE, MD 21214
Clinic/Center (Adult Day Care)
5610 HARFORD RD
BALTIMORE, MD 21214
Clinic/Center (Mental Health (Including Community Mental Health Center))
5610 HARFORD RD
BALTIMORE, MD 21214

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 Danita Custis's NPI number?

The NPI number for Danita Custis is 1528946266. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Danita Custis located?

Danita Custis practices at 5610 Harford Rd, Baltimore, MD 21214. The listed phone number is (443) 405-8005.

What is Danita Custis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Danita Custis enrolled in Medicare?

Yes. Danita Custis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Danita Custis was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.