Nisha Abraham
Individual provider Active NPI Family Nurse Practitioner · Dallas, TX
NPI 1063910073 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1063910073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP135102 (TX)
- Practice address
- 12895 Josey LN Ste 120
Dallas, TX 75234-8306 - Phone
- (972) 481-1881
- Fax
- (972) 481-1888
- NPI assigned
- Jan 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medical Clinic of North Texas, PLLC
Practice addresses (Care Compare)
7501 Lakeview Pkwy
Suite 130
Rowlett, TX 75088-9324
Phone (972) 463-3100
900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200918002517 | TX | Practitioner - Nurse Practitioner | 7810315041 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135102 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas PLLC | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current |
Accepting new patients | |
| Medical Clinic of North Texas, PLLC | Current |
Accepting new patients | |
| Harmonycares Complete Health Services, PLLC | Current |
Accepting new patients |
Locations
12895 Josey Ln
Ste 120
Farmers Branch, TX 75234
Phone (972) 481-1881
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
Interoperability endpoints
- nisha.abraham@wellmed.eclinicaldirectplus.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP135102 | TX | Yes |
Addresses
Primary practice location
12895 Josey LN Ste 120
Dallas, TX 75234-8306
Mailing address
12895 Josey LN Ste 120
Dallas, TX 75234-8306
Phone (972) 481-1881
Other providers in Dallas, TX
- Melby Abraham
- Melissa Mary Abraham
- Meredith Abraham
- Merin M Abraham
- Misty Rachel Abraham
- Noel Thalakulath Abraham
- Omana Abraham
- Pheba Shibu Abraham
- Reana Joyce Abraham
- Reeni A Abraham
All providers in Dallas, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.