MRS. ANNAMMA ABRAHAM – Psychiatric/Mental Health Nurse Practitioner, NPI 1194568279

MRS. ANNAMMA ABRAHAM is a healthcare provider. based in Orlando, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11033286 (FL). The NPI Number for MRS. ANNAMMA ABRAHAM is 1194568279

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANNAMMA ABRAHAM
NPI
1194568279
Phone
(407) 729-7189
Address
19347 FALLGLO DR
Enumeration Date
17 June 2024
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8135401466
Graduation Year
2024 (2 years ago)
PAC ID
1254875107
Group Practice PAC ID
7810290384
Professional Enrollment ID
I20240702002225
Address ID
FL335446962WE27716CIRX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. ANNAMMA ABRAHAM

  • 19347 FALLGLO DR

    ORLANDO, FL 328277447

    Phone: (407) 729-7189

    Type: Mailing

  • 3919 TAMPA RD

    OLDSMAR, FL 346773114

    Phone: (727) 733-6111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($28).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-07-02

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
I20240702002225INurse 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 32827)

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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: 7810290384View full group profile
NameSpecialtyState
Nurse PractitionerFL
Mental Health CounselorFL
Nurse PractitionerFL
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorVA
Mental Health CounselorSC
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What NPI should I save for MRS. ANNAMMA ABRAHAM?
Save NPI 1194568279 if you need a stable reference for MRS. ANNAMMA ABRAHAM.
Is MRS. ANNAMMA ABRAHAM active in the national directory?
MRS. ANNAMMA ABRAHAM's public NPI profile is in an active state.
What kind of provider is MRS. ANNAMMA ABRAHAM?
The page reflects Psychiatric/Mental Health Nurse Practitioner for MRS. ANNAMMA ABRAHAM. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. ANNAMMA ABRAHAM?
The page summarizes Orlando, Florida for MRS. ANNAMMA ABRAHAM; expand the address list for detail.
How can I contact MRS. ANNAMMA ABRAHAM?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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