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GRACE MBA
NPI 1720810492
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Active since August 20, 2024PECOS EnrolledAccepts Medicare Assignment
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602(301) 710-4218(301) 396-7346 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 16, 2026, Aug 7, 2025, Jun 18, 2025 and 1 more (4 updates tracked since 2024).

About Grace Mba NPPES

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

GRACE MBA (NPI 1720810492) is an individual psychiatric/mental health provider in Waldorf, Maryland, licensed in Maryland (AC006732) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720810492
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGRACE MBA
Location Address3261 OLD WASHINGTON RD STE 2020Waldorf, MD 20602-3231
Mailing Address6012 Black Bear CtWaldorf, MD 20603-4342 · (240) 413-4491
Phone(301) 710-4218
Fax(301) 396-7346
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 20, 2024
Last NPPES UpdateJanuary 16, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1720810492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MD · AC006732✔ Licensed in DC · NP500020241
3261 OLD WASHINGTON RD STE 2020, Waldorf, MD 20602
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace Mba is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345728309
PECOS Enrollment IDI20260130002558
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.

Medicare Billing Reassignment

Medicare enrollment records show Grace Mba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oasis Of Hope Behavioral Healthcare
Same address
Psychiatric/Mental Health
3261 OLD WASHINGTON RD STE 2020
Waldorf, MD 20602
  • Reassigned Medicare billing, Maryland enrollment
  • 2 clinicians in this Medicare group
NPI 1609535004 (240) 518-8016

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 20

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

PRIMAL HEALTH FAMILY PRACTICE
Nurse Practitioner (Family)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (240) 923-0614
STEVENSON COUNSELING SERVICES. LLC
Counselor (Mental Health)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (301) 535-4318
SABRENA MONTGOMERY LCSW-C, LCSW
Social Worker (Clinical)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (240) 349-2507
DR. DONNA RICE EDD, CCC-SLP
Speech-Language Pathologist
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (301) 996-1155
INGRID IVES-PINKNEY NCC, LCPC
Counselor (Professional)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (240) 240-2383
DEIRDRE CULLUM
Counselor (Professional)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (240) 435-2797
REFLECTIVE MINDS MENTAL WELLNESS, LLC
Psychiatry & Neurology (Psychiatry)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (301) 478-8609
MRS. BRIANNA JONES
Doula
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (202) 710-2166

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 Grace Mba's NPI number?

The NPI number for Grace Mba is 1720810492. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Grace Mba located?

Grace Mba practices at 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602. The listed phone number is (301) 710-4218.

What is Grace Mba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Grace Mba enrolled in Medicare?

Yes. Grace Mba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Grace Mba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Mba reassigns Medicare benefits to Oasis Of Hope Behavioral Healthcare (Waldorf, MD). The 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 Grace Mba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grace Mba 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 9 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.