JENNIFER V ABRAHAM (PA-C) – Medical Physician Assistant, NPI 1194121657

JENNIFER V ABRAHAM (PA-C) is a healthcare provider. based in Fort collins, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0004068 (CO). The NPI Number for JENNIFER V ABRAHAM (PA-C) is 1194121657

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER V ABRAHAM (PA-C)
NPI
1194121657
Phone
(651) 319-1563
Address
3433 WARREN FARM DR
Enumeration Date
11 November 2014
Last Update Date
7 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083214000
Graduation Year
2014 (12 years ago)
PAC ID
9931422896
Group Practice PAC ID
2163648155
Professional Enrollment ID
I20161013002516
Address ID
ID836463171ME4842XWAYX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for JENNIFER V ABRAHAM (PA-C)

  • 3433 WARREN FARM DR

    FORT COLLINS, CO 805266344

    Phone: (651) 319-1563

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Ethicon US, LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161013002516IPhysician AssistantIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes5757$0
73562X-ray of knee, 3 views4923$0
99214Established patient office or other outpatient visit, 30-39 minutes4533$0
73110X-ray of wrist, minimum of 3 views3411$0
73030X-ray of shoulder, minimum of 2 views2211$0
View full utilization report →

Insurance plans in this area (ZIP 80526)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163648155View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerID
Physician AssistantID
Physician AssistantID
-AZ
Sports MedicineID
Physician AssistantID
Physician AssistantID
Physician AssistantID
Sports MedicineUT

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER V ABRAHAM (PA-C)?
The federal identifier for JENNIFER V ABRAHAM (PA-C) is NPI 1194121657.
Is JENNIFER V ABRAHAM (PA-C) currently active in the NPI registry?
CMS-published data lists JENNIFER V ABRAHAM (PA-C) as an active registrant.
What kind of provider is JENNIFER V ABRAHAM (PA-C)?
The page reflects Medical Physician Assistant for JENNIFER V ABRAHAM (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER V ABRAHAM (PA-C)?
We surface Fort Collins, Colorado for JENNIFER V ABRAHAM (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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