MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1265424691

MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC) is a healthcare provider. based in Rockwall, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, FNP-BC. They hold a License No. 650512 (TX). The NPI Number for MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC) is 1265424691

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC)
NPI
1265424691
Phone
(972) 772-8194
Address
102 S 1ST ST STE B
Enumeration Date
22 August 2005
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663250301
Graduation Year
2003 (23 years ago)
PAC ID
2163483116
Group Practice PAC ID
6901235423
Professional Enrollment ID
I20041022000418
Address ID
TX751504079ME2021XBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC)

  • 102 S 1ST ST STE B

    ROCKWALL, TX 750873793

    Phone: (972) 772-8194

    Type: Mailing

  • 2021 N TOWN EAST BLVD STE 500

    MESQUITE, TX 751504079

    Phone: (866) 325-0301

    Type: Location

  • PO BOX 8150

    WESTCHESTER, IL 601548150

    Phone: (866) 325-0301

    Type: Mailing

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 $357.

Total Amount is formed as General ($357) + Research ($0) + Ownership ($0) = $357.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Abbott Laboratories ($153).

Total Amount

$357

General + Research + Ownership

Payments

3

Total payment records

General Amount

$357

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2004-10-22

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
I20041022000418INurse PractitionerTXTBD

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 75087)

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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: 6901235423View full group profile
NameSpecialtyState
-TX
Nurse PractitionerNY
Family PracticeCA
Nurse PractitionerTN
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the standard ID for MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC) in the U.S.?
In the U.S., MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC) is identified by NPI 1265424691.
Does the public listing show MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC) as active?
MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC)'s NPI record reflects an active status in NPPES.
What does the directory say MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC) does?
Insurance directories may phrase it differently, but here MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC) tied to Rockwall, Texas?
If you are local to Rockwall, Texas, MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC) may be relevant to your search.
Can I export MRS. ANNIE ABRAHAM (DNP, APRN, FNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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