ABRAHAM ABEGUNDE (APRN (PMHNP)) – Home Health Registered Nurse, NPI 1841773504

ABRAHAM ABEGUNDE (APRN (PMHNP)) is a healthcare provider. based in Arlington, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN (PMHNP). They hold a License No. 1034518 (TX). The NPI Number for ABRAHAM ABEGUNDE (APRN (PMHNP)) is 1841773504

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ABRAHAM ABEGUNDE (APRN (PMHNP))
NPI
1841773504
Phone
(702) 349-2866
Address
908 SIMI DR
Enumeration Date
10 September 2018
Last Update Date
31 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4693402777
Graduation Year
2020 (6 years ago)
PAC ID
1850758178
Group Practice PAC ID
4587971452
Professional Enrollment ID
I20230601000646
Address ID
TX750133342AL1772XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

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Provider Addresses for ABRAHAM ABEGUNDE (APRN (PMHNP))

  • 908, Simi Drive, Arlington, Tarrant County, Texas, 76001, United States

    ARLINGTON, TX 760015936

    Phone: (702) 349-2866

    Type: Mailing

  • 7204 RUSTIC ROCK RD

    ARLINGTON, TX 760016678

    Phone: (702) 349-2866

    Type: Mailing

  • PO BOX 649

    FORT DEFIANCE, AZ 865040649

    Phone: (928) 729-8000

    Type: Mailing

  • CORNER OF ROUTE N12 AND N7

    FORT DEFIANCE, AZ 86504

    Phone: (928) 729-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($28).

Total Amount

$54

General + Research + Ownership

Payments

2

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$28
Corium, LLC$27
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: 2023-06-01

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
I20230601000646INurse 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 76001)

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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: 4587971452View full group profile
NameSpecialtyState
P S Y C H I A T R YIN
-TX
Mental Health CounselorTX
P S Y C H I A T R YTN
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorMA
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify ABRAHAM ABEGUNDE (APRN (PMHNP)) for billing?
Administrative and clinical systems typically use NPI 1841773504 for ABRAHAM ABEGUNDE (APRN (PMHNP)).
Should I treat ABRAHAM ABEGUNDE (APRN (PMHNP)) as an active provider?
Patients and plans typically see ABRAHAM ABEGUNDE (APRN (PMHNP)) as active in the national extract.
Which specialty label fits ABRAHAM ABEGUNDE (APRN (PMHNP))?
NPPES ties ABRAHAM ABEGUNDE (APRN (PMHNP)) to Home Health Registered Nurse in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ABRAHAM ABEGUNDE (APRN (PMHNP))?
ABRAHAM ABEGUNDE (APRN (PMHNP)) shows a connection to Arlington, Texas in registry-derived data.
Can I export ABRAHAM ABEGUNDE (APRN (PMHNP))'s record?
You can download the official NPPES record; we summarize key fields for readability.

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