SALAM N ABDO (APRN) – Family Nurse Practitioner, NPI 1104799303

SALAM N ABDO (APRN) is a healthcare provider. based in Dade city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11041321 (FL). The NPI Number for SALAM N ABDO (APRN) is 1104799303

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
SALAM N ABDO (APRN)
NPI
1104799303
Phone
(352) 518-2000
Address
37912 CHURCH AVE
Enumeration Date
25 September 2025
Last Update Date
25 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3525182000
Graduation Year
2025 (1 year ago)
PAC ID
6507356516
Group Practice PAC ID
3476450818
Professional Enrollment ID
I20251107002143
Address ID
FL335254302DA14027STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for SALAM N ABDO (APRN)

  • 37912 CHURCH AVE

    DADE CITY, FL 335254207

    Phone: (352) 518-2000

    Type: Mailing

  • 14027 5TH ST

    DADE CITY, FL 335254302

    Phone: (352) 518-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-11-07

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
I20251107002143INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33525)

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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: 3476450818View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerVA
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
C H I R O P R A C T I CFL

Reviews

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Frequently asked questions

What NPI should I save for SALAM N ABDO (APRN)?
Save NPI 1104799303 if you need a stable reference for SALAM N ABDO (APRN).
Is SALAM N ABDO (APRN) active in the national directory?
SALAM N ABDO (APRN)'s public NPI profile is in an active state.
Does SALAM N ABDO (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for SALAM N ABDO (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for SALAM N ABDO (APRN)?
The page summarizes Dade City, Florida for SALAM N ABDO (APRN); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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