1. Home
  2. Directory
  3. Maryland
  4. Laurel
  5. Nurse Practitioner
  6. NPI Profile

SHEPHERDCARE WELLNESS CLINIC
NPI 1629823646
Nurse Practitioner - Family in Laurel, MD

Active since April 22, 2024
312 MARSHALL AVE STE 1010, LAUREL, MD 20707(410) 934-4813(410) 934-4815 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2024, Apr 22, 2024 (2 updates tracked since 2024).

About Shepherdcare Wellness Clinic NPPES

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

SHEPHERDCARE WELLNESS CLINIC (NPI 1629823646) is a healthcare organization registered as a family in Laurel, Maryland and active in the NPI registry since April 2024. The organization lists Foluke O Ajuwon, Provider, as its authorized official.

NPPES Registry Identity

NPI1629823646
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSHEPHERDHEALTHCARE SYSTEM,LLC
Location Address312 MARSHALL AVE STE 1010Laurel, MD 20707-4861
Mailing Address15320 Old Frederick RdWoodbine, MD 21797-8748 · (240) 938-4333 · Fax (410) 934-4815
Phone(410) 934-4813
Fax(410) 934-4815
Organization SubpartNo
Authorized OfficialFoluke O AjuwonProvider · (240) 938-4333
Enumeration DateApril 22, 2024
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1629823646 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
312 MARSHALL AVE STE 1010, Laurel, MD 20707
Open in Google Maps ↗

Other Names 1

Doing Business AsShepherdcare Wellness Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shepherdcare Wellness Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shepherdcare Wellness Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Foluke Ajuwon
Nurse Practitioner
NPI 1265987812
HOWARD COUNTY HEALTH DEPARTMENT 8930 STANFORD BLVD
Columbia, MD 21045
(410) 313-7500
✔ PECOS7.7 mi

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

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 Shepherdhealthcare System,llc's NPI number?

The NPI number for Shepherdhealthcare System,llc is 1629823646. It was assigned to this organization in the NPPES registry on April 22, 2024. The provider is doing business as Shepherdcare Wellness Clinic.

Where is Shepherdhealthcare System,llc located?

Shepherdhealthcare System,llc is located at 312 Marshall Ave Ste 1010, Laurel, MD 20707. The listed phone number is (410) 934-4813.

What is Shepherdhealthcare System,llc's specialty?

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

Is Shepherdhealthcare System,llc enrolled in Medicare?

Yes. Shepherdhealthcare System,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shepherdhealthcare System,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shepherdhealthcare System,llc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shepherdhealthcare System,llc was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.