KIONIE ABRAHAM – Family Nurse Practitioner, NPI 1063897288

KIONIE ABRAHAM is a healthcare provider. based in Bloomingdale, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209012812 (IL). The NPI Number for KIONIE ABRAHAM is 1063897288

Main info

Female
12 Years Of Experience
Name
KIONIE ABRAHAM
NPI
1063897288
Phone
(630) 529-7427
Address
121 FAIRFIELD WAY STE 207
Enumeration Date
29 July 2015
Last Update Date
28 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7735966497
Graduation Year
2014 (12 years ago)
PAC ID
5193030377
Group Practice PAC ID
9931645157
Professional Enrollment ID
I20150817002815
Address ID
IL606204709CH8556XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KIONIE ABRAHAM

  • 121 FAIRFIELD WAY STE 207

    BLOOMINGDALE, IL 601081559

    Phone: (630) 529-7427

    Fax: (630) 529-9937

    Type: Mailing

  • 2 TRANSAM PLAZA DR STE 410

    OAKBROOK TERRACE, IL 601814290

    Phone: (866) 259-1631

    Fax: (855) 618-2629

    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: 2015-08-17

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
I20150817002815INurse PractitionerILTBD

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 60108)

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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: 9931645157View full group profile
NameSpecialtyState
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to KIONIE ABRAHAM?
NPI 1063897288 is assigned to KIONIE ABRAHAM under the national enumeration system.
Does this profile mean KIONIE ABRAHAM is currently active?
Yes — KIONIE ABRAHAM appears active in the national provider directory.
What kind of provider is KIONIE ABRAHAM?
The page reflects Family Nurse Practitioner for KIONIE ABRAHAM. Clinical services aligned with this taxonomy classification.
Does KIONIE ABRAHAM practice in Illinois?
You will see Bloomingdale, Illinois on file for KIONIE ABRAHAM alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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