Abimbola Shadare, - Medicare Nurse Practitioner in Upper Marlboro, MD

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Abimbola Shadare, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Upper Marlboro, Maryland. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Supportive Care Of Maryland Llc, Spiritual Healing, Toller Enterprises, Llc, Spiritual Healing, Toller Enterprises, Llc and her current practice location is 4312 Arabella Ct, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 593-2260.

Abimbola Shadare is licensed to practice in District Of Columbia (license number NP1042439) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508559675.

Contact Information

Abimbola Shadare,
4312 Arabella Ct,
Upper Marlboro, MD 20772-9343
(240) 593-2260
Not Available

Map and Direction




Provider's Profile

Full NameAbimbola Shadare
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location4312 Arabella Ct, Upper Marlboro, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Abimbola Shadare graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1508559675
  • Provider Enumeration Date: 06/02/2023
  • Last Update Date: 03/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254857576
  • Enrollment ID: I20260311000651

Medical Identifiers

Medical identifiers for Abimbola Shadare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508559675NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health NP1042439 (District Of Columbia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Supportive Care Of Maryland Llc923446099938
Spiritual Healing711338880222
Toller Enterprises, Llc862848192663
Spiritual Healing711338880222
Toller Enterprises, Llc862848192663

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Abimbola Shadare allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191003001442
Entity NameSupportive Care of Maryland LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447802616
PECOS PAC ID: 9234460999
Enrollment ID: O20191107000137
Entity NameAccess Health and Wellness Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427591569
PECOS PAC ID: 6709168826
Enrollment ID: O20200218002436
Entity NameEz Health Primary and Behavioral Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730975285
PECOS PAC ID: 0547776890
Enrollment ID: O20250723000902

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abimbola Shadare is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Abimbola Shadare,
4312 Arabella Ct,
Upper Marlboro, MD 20772-9343

Ph: Not Available		Abimbola Shadare,
4312 Arabella Ct,
Upper Marlboro, MD 20772-9343

Ph: (240) 593-2260

Reviews and Comments


Nurse Practitioner Nurses in Upper Marlboro, MD

Mrs. Olayemi O Johnson, PMHNP
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Medicare: Medicare Enrolled
Practice Location: 2901 Valerian Ln, Upper Marlboro, MD 20774
Phone: 240-381-6576    
Keonie Morrisey, PMHNP- BC
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Phone: 240-428-9191    
Mrs. Abolanle Olabisi Owoeye, PMHNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 3211 Winterbourne Dr, Upper Marlboro, MD 20774
Phone: 240-505-4839    Fax: 240-505-4839
Mrs. Shonte Renee Drakeford, APRN NP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 6610 Woodyard Road, Upper Marlboro, MD 20772
Phone: 240-899-1950    
Gladys Momoh,
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Medicare: Accepting Medicare Assignments
Practice Location: 10081 Campus Way S, Upper Marlboro, MD 20774
Phone: 202-704-2920    
Kehinde Olatunji, CRNP, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 97 Capital Ct, Upper Marlboro, MD 20774
Phone: 301-618-0079    
Ogo Tunde-sanya,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9520 Marlboro Pike Ste 201, Upper Marlboro, MD 20772
Phone: 301-957-7210    Fax: 301-604-0731

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.