BONITA DENISE ABRAHAM (FNP-C) – Family Nurse Practitioner, NPI 1457957367

BONITA DENISE ABRAHAM (FNP-C) is a healthcare provider. based in Odessa, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1019338 (TX). The NPI Number for BONITA DENISE ABRAHAM (FNP-C) is 1457957367

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
BONITA DENISE ABRAHAM (FNP-C)
NPI
1457957367
Phone
(432) 337-4782
Address
4222 WENDOVER AVE STE 400
Enumeration Date
7 December 2020
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4323326600
Graduation Year
2020 (6 years ago)
PAC ID
2062829948
Group Practice PAC ID
7214963958
Professional Enrollment ID
I20210319000764
Address ID
TX797647118OD1220XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for BONITA DENISE ABRAHAM (FNP-C)

  • 4222 WENDOVER AVE STE 400

    ODESSA, TX 797625924

    Phone: (432) 337-4782

    Fax: (432) 653-4509

    Type: Location

  • 1010 LIMESTONE AVE

    ODESSA, TX 797613117

    Phone: (432) 664-2128

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 110 Open Payments records for all available years, with a total value of $2,346.

Total Amount is formed as General ($2,346) + Research ($0) + Ownership ($0) = $2,346.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($560).

Total Amount

$2,346

General + Research + Ownership

Payments

110

Total payment records

General Amount

$2,346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2021-03-19

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
I20210319000764INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes11569$0
36415Insertion of needle into vein for collection of blood sample4731$0
81003Automated urinalysis test3228$0
80053Blood test, comprehensive group of blood chemicals3227$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2826$0
View full utilization report →

Insurance plans in this area (ZIP 79762)

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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: 7214963958View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeMI
Internal MedicineTX
Nurse PractitionerTX
Family PracticeTX
-TX
Family PracticeTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is BONITA DENISE ABRAHAM (FNP-C) listed with a National Provider Identifier?
Yes — BONITA DENISE ABRAHAM (FNP-C) has NPI 1457957367 on file in the registry.
Is BONITA DENISE ABRAHAM (FNP-C) shown as active in public data?
Registry records indicate BONITA DENISE ABRAHAM (FNP-C) maintains an active NPI.
How would a patient describe BONITA DENISE ABRAHAM (FNP-C)'s focus?
For BONITA DENISE ABRAHAM (FNP-C), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is BONITA DENISE ABRAHAM (FNP-C) registered?
Use Odessa, Texas as the headline location for BONITA DENISE ABRAHAM (FNP-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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