Active NPI
Sharen Ekua Ayensu, FNP-BC
- Family Nurse Practitioner
- Upper Marlboro, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R171647
- Practice address
- 13912 Edsall St
Upper Marlboro, MD 20772-6849 - Phone
- (301) 613-5570
- NPI assigned
- Mar 9, 2013
- Last updated
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R171647 | MD | Primary |
Addresses
Primary practice location
13912 Edsall St
Upper Marlboro, MD 20772-6849
Mailing address
13912 Edsall St
Upper Marlboro, MD 20772-6849
Phone (301) 613-5570
Other practice location 1
785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958
Phone (443) 323-3014
Other practice location 2
9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (866) 799-5886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Howard University College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 W Rd
Towson, MD 21204-2315
Phone (667) 300-8222
9106 Pine View LN
Clinton, MD 20735-3229
Phone (301) 856-2930
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.12 of 100
- Quality
- 78.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R171647 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceway Health Care LLC | Current | Accepting new patients | |
| Five Star Physician Services, LLC | Current | Accepting new patients | |
| Graceway Health Care LLC | Current | Accepting new patients | |
| Alignmed Medical Group, PC | Current | Accepting new patients | |
| Graceway Health Care LLC | Current | Accepting new patients | |
| Graceway Health Care LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Kurup Wound Care, Inc. | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Genesis Elder Care Physician Services LLC | Past | Accepting new patients |
Locations
900 Van Buren St
Annapolis, MD 21403
Phone (301) 933-2500
3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544
8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555
7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600
9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930
100 Laurel Dr
Elkton, MD 21921
Phone (410) 398-8800
347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181
1835 University Blvd E
Ste 208
Hyattsville, MD 20783
Phone (301) 445-3501
4922 Lasalle Rd
Hyattsville, MD 20782
Phone (301) 445-3501
785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014
1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717
9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600
310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220
3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000
111 West Rd
Towson, MD 21204
Phone (410) 828-6500
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Internal Medicine Physician
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- NPI 1013669084
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1366289423
DC
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1083654479
DC
-
- Geriatric Medicine (Internal Medicine) Physician
- Salisbury, MD
- NPI 1881635183
-
dba GPS Physician Group PC
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
DC, MD
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1588690135
DC
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1356203020
-
- Internal Medicine Physician
- Rosedale, MD
- NPI 1487476453
-
- Family Medicine Physician
- Hyattsville, MD
- NPI 1861652646
-
- Geriatric Medicine (Internal Medicine) Physician
- Warwick, RI
- NPI 1194774943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1952642357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13912 EDSALL ST",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726849",
"telephone_number": "301-613-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13912 EDSALL ST",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726849",
"telephone_number": "301-613-5570"
}
],
"practiceLocations": [
{
"address_1": "785 Elkridge Landing Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Linthicum Heights",
"state": "MD",
"postal_code": "210902958",
"country_code": "US",
"telephone_number": "443-323-3014",
"fax_number": "855-221-5249",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9900 Bren Rd E",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553439664",
"country_code": "US",
"telephone_number": "866-799-5886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYENSU",
"first_name": "SHAREN",
"middle_name": "EKUA",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-09",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R171647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.