ANTONIA JACQUELINE ABRAHAMSEN (FNP-C) – Family Nurse Practitioner, NPI 1720532005

ANTONIA JACQUELINE ABRAHAMSEN (FNP-C) is a healthcare provider. based in Bloomington, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 209014663 (IL). The NPI Number for ANTONIA JACQUELINE ABRAHAMSEN (FNP-C) is 1720532005

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
ANTONIA JACQUELINE ABRAHAMSEN (FNP-C)
NPI
1720532005
Phone
Not provided
Address
2009 E OAKLAND AVE
Enumeration Date
4 August 2016
Last Update Date
4 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3098889800
Graduation Year
2016 (10 years ago)
PAC ID
9335427574
Group Practice PAC ID
9537344403
Professional Enrollment ID
I20161024000916
Address ID
IL617616290NO2200XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for ANTONIA JACQUELINE ABRAHAMSEN (FNP-C)

  • 2009, East Oakland Avenue, Bloomington, McLean County, Illinois, 61701, United States

    BLOOMINGTON, IL 617015756

    Phone:

    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)

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: 2016-10-24

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
I20161024000916INurse 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 61701)

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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: 9537344403View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Occupational Therapist In Private PracticeMI
-IL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to ANTONIA JACQUELINE ABRAHAMSEN (FNP-C)?
NPI 1720532005 is assigned to ANTONIA JACQUELINE ABRAHAMSEN (FNP-C) under the national enumeration system.
Is ANTONIA JACQUELINE ABRAHAMSEN (FNP-C)'s NPI currently valid?
The extract we use shows ANTONIA JACQUELINE ABRAHAMSEN (FNP-C) as active.
What field does ANTONIA JACQUELINE ABRAHAMSEN (FNP-C) work in?
You can think of ANTONIA JACQUELINE ABRAHAMSEN (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place ANTONIA JACQUELINE ABRAHAMSEN (FNP-C)?
The snapshot lists Bloomington, Illinois for ANTONIA JACQUELINE ABRAHAMSEN (FNP-C); download NPPES for the complete set.
Is ANTONIA JACQUELINE ABRAHAMSEN (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1720532005. Always confirm identity and privileges with the practice and licensing boards.

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