DUSTIN J ABRAHAM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1235496217

DUSTIN J ABRAHAM (CRNA) is a healthcare provider. based in Longview, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 105075 (OK). The NPI Number for DUSTIN J ABRAHAM (CRNA) is 1235496217

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN J ABRAHAM (CRNA)
NPI
1235496217
Phone
(903) 663-3600
Address
6580 JUDSON RD
Enumeration Date
16 April 2012
Last Update Date
16 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187286010
Graduation Year
2012 (14 years ago)
PAC ID
4183888571
Group Practice PAC ID
7113100470
Professional Enrollment ID
I20120615000031
Address ID
OK741353235TU4200XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for DUSTIN J ABRAHAM (CRNA)

  • 6580 JUDSON RD

    LONGVIEW, TX 756057076

    Phone: (903) 663-3600

    Fax: (214) 382-5417

    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: 2012-06-15

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
I20120615000031ICertified Registered Nurse Anesthetist (Crna)OKTBD

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
00812Anesthesia for exam of colon using an endoscope2727$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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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: 7113100470View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OK

Reviews

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Frequently asked questions

What identifier follows DUSTIN J ABRAHAM (CRNA) across health systems?
The NPI 1235496217 uniquely identifies DUSTIN J ABRAHAM (CRNA) in U.S. healthcare data.
Is DUSTIN J ABRAHAM (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists DUSTIN J ABRAHAM (CRNA) as active.
What type of care does DUSTIN J ABRAHAM (CRNA) provide?
DUSTIN J ABRAHAM (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit DUSTIN J ABRAHAM (CRNA) in Longview, Texas?
For routing, start with Longview, Texas for DUSTIN J ABRAHAM (CRNA), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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