ABIMBOLA SHADARE
NPI 1508559675
Nurse Practitioner - Psychiatric/Mental Health in Upper Marlboro, MD

Active since June 02, 2023PECOS EnrolledAccepts Medicare Assignment
4312 ARABELLA CT, UPPER MARLBORO, MD 20772(240) 593-2260 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2025, Aug 18, 2023, Jun 2, 2023 (3 updates tracked since 2023).

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

NPI1508559675
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameABIMBOLA SHADARE
Location Address4312 ARABELLA CTUpper Marlboro, MD 20772-9343
Mailing Address4312 Arabella CtUpper Marlboro, MD 20772-9343
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 2, 2023
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1508559675 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
License✔ Licensed in DC · NP1042439
4312 ARABELLA CT, Upper Marlboro, MD 20772

Accepted Insurance

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

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.

PECOS PAC ID1254857576
PECOS Enrollment IDI20250430000584, I20260311000651
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 Reassignments

15

Medicare enrollment records show Abimbola Shadare reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
1051 BRIGHTSEAT RD
Landover, MD 20785
  • Reassigned Medicare billing, District of Columbia enrollment
  • 118 clinicians in this Medicare group
Clinic/Center
8301 PROFESSIONAL PL
Hyattsville, MD 20785
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group
Multi-Specialty
9470 ANNAPOLIS RD STE 100
Lanham, MD 20706
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Medicare enrollment name: Access Health And Wellness Medical
  • 3 clinicians in this Medicare group
Internal Medicine
650 PENNSYLVANIA AVE SE STE 330-340
Washington, DC 20003
  • Reassigned Medicare billing, District of Columbia enrollment
  • 18 clinicians in this Medicare group
Psychologist
4409 E WEST HWY
Riverdale, MD 20737
  • Reassigned Medicare billing, Maryland enrollment
  • 91 clinicians in this Medicare group
Gerontology
800 DECATUR ST NE
Washington, DC 20017
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group
Mental Health
6323 GEORGIA AVE NW STE 360
Washington, DC 20011
  • Reassigned Medicare billing, District of Columbia enrollment
  • 4 clinicians in this Medicare group
Psychiatric/Mental Health
7611 TIMBERLY CT
Mc Lean, VA 22102
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group
Adult Health
807 E BALTIMORE ST UNIT 1-R
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • 3 clinicians in this Medicare group
Pain Management
2232 E MONUMENT ST
Baltimore, MD 21205
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 132 clinicians in this Medicare group

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 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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Which organizations bill Medicare for Abimbola Shadare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abimbola Shadare reassigns Medicare benefits to 15 organizations: Integrahealth LLC (Landover, MD), Fawpearls Health Services LLC (Hyattsville, MD), Access Health Services (Lanham, MD), Elevate Health Solutions, LLC (Washington, DC), Supportive Care Of Maryland LLC (Riverdale, MD) and 10 more organizations, listed in the Medicare section above. Each 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 Abimbola Shadare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abimbola Shadare accept?

Health plans from Cigna HealthCare of Arizona, Inc, Cigna HealthCare of Florida, Inc. and Cigna Healthcare 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 20 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.