ABIMBOLA SHADARE
NPI 1508559675
Nurse Practitioner - Psychiatric/Mental Health in Upper Marlboro, MD
About Abimbola Shadare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABIMBOLA SHADARE (NPI 1508559675) is an individual psychiatric/mental health provider in Upper Marlboro, Maryland, licensed in District Of Columbia (NP1042439) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Abimbola Shadare 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Abimbola Shadare's NPI number?
The NPI number for Abimbola Shadare is 1508559675. It was assigned to this individual provider in the NPPES registry on June 2, 2023.
Where is Abimbola Shadare located?
Abimbola Shadare practices at 4312 Arabella Ct, Upper Marlboro, MD 20772. The listed phone number is (240) 593-2260.
What is Abimbola Shadare's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Abimbola Shadare enrolled in Medicare?
Yes. Abimbola Shadare 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.
What insurance does Abimbola Shadare accept?
Health plans from Florida Blue HMO (a BlueCross BlueShield FL company) list Abimbola Shadare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Abimbola Shadare was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Abimbola Shadare · NPI 1508559675
Psychiatric/Mental Health physician in Upper Marlboro, Maryland. Individual provider, active in the CMS NPPES registry since June 2, 2023.
## Identity
- **NPI:** 1508559675 (Entity type: Individual)
- **Enumerated:** June 2, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP1042439 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4312 ARABELLA CT, Upper Marlboro, MD 20772-9343
- **Phone:** (240) 593-2260
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 4, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1508559675) · Data from the CMS NPPES public registry.