Individual provider Active NPI

Sharen Ekua Ayensu, FNP-BC

  • Family Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1952642357
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R171647 Issued in MD
Practice address
13912 Edsall St
Upper Marlboro, MD 20772-6849
Phone
(301) 613-5570
NPI assigned
Mar 9, 2013
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161222000893 DC Practitioner - Nurse Practitioner 4789963547 Reassigns benefits to 5 organizations
I20161229001932 MD Practitioner - Nurse Practitioner 4789963547 Reassigns benefits to 5 organizations
I20220124002194 OH Practitioner - Nurse Practitioner 4789963547

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
Graceway Health Care LLCGroup PAC ID 9537544648, 15 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
R171647MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Graceway Health Care LLC CurrentSince Apr 5, 2023 Accepting new patients
Five Star Physician Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
Graceway Health Care LLC CurrentSince Apr 5, 2023 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 13, 2025 Accepting new patients
Graceway Health Care LLC Current Accepting new patients
Graceway Health Care LLC Current Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Sep 13, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Sep 13, 2025 Accepting new patients
Kurup Wound Care, Inc. CurrentSince Dec 5, 2016 Accepting new patients
Alignmed Partners, PC CurrentSince Nov 12, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Sep 13, 2025 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.

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

Verify at the official NPI Registry.