Abimbola Shadare
NPI 1508559675ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Upper Marlboro, MD
Nurse Practitioner, Psych/Mental Health with Toller Enterprises, LLC and 2 other groups, practicing in Upper Marlboro, Maryland. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1508559675 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 2, 2023 |
| Last updated in NPPES | Mar 4, 2025 |
| Certified by provider | Mar 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | NP1042439 | DC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ); Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (MD); Practitioner - Nurse Practitioner (NJ); Practitioner - Nurse Practitioner (NV) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Toller Enterprises, LLCBaltimore, MD · 64 clinicians
- Supportive Care of Maryland LLCBaltimore, MD · 39 clinicians
- Spiritual HealingBaltimore, MD · 24 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 93 psychiatric nurse practitioners in Upper Marlboro · All psychiatric nurse practitioners in Maryland