Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abimbola Shadare

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508559675

Abimbola Shadare is a Nurse Practitioner in Upper Marlboro, Maryland. Qualified in 2022, 4 years ago. Practices with Supportive Care of Maryland LLC, a 36-clinician group and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
4
Licensed in
DC
In the registry since
2023
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Practice location Address checks out

4312 Arabella Ct
Upper Marlboro, MD 20772-9343
Phone: (240) 593-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP1042439 (DC)

Record details

NPI number1508559675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2023
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address4312 Arabella Ct, Upper Marlboro, MD 20772-9343

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Supportive Care Of Maryland Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Upper Marlboro