Edith Abraham, ARNP – Nurse Practitioner in Tampa, FL

Key facts

NPI: 1134735285
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: APRN11007507 (FL)
Practice address: 12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 745-8380
NPI assigned: Sep 23, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Hematology & Oncology Physician · Tampa, FL · NPI 1306833595

Medicare reassignment Care Compare group NPD FL

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Special Hospital · Tampa, FL · NPI 1780653618

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer SCRN Ctr Inc (1,145 clinicians)

Practice addresses (Care Compare)

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (888) 860-2778

Hospital & facility affiliations

H Lee Moffitt Cancer Center & Research Institute I Hospital · Tampa, FL · CCN 100271

Merit-based Incentive Payment System (MIPS)

Final score: 88 of 100 (group)
Quality: 74.04
Promoting interoperability: 100
Improvement activities: 40
Cost: 70.96

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL
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
I20211005003580	FL	Practitioner - Nurse Practitioner	8729486733	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
APRN11007507	FL	MD	Acute Care Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc		Current since Sep 19, 2021	Accepting new patients

Locations

12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (813) 745-2720

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Acute Care Nurse Practitioner	363LA2100X	APRN11007507	FL
Nurse Practitioner	363L00000X	APRN11007507	FL	Yes

Addresses

Primary practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Mailing address

PO Box 198441
Atlanta, GA 30384-8441

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	edith.abraham@direct.moffitt.org

Other providers in Tampa, FL

All providers in Tampa, FL · Nurse Practitioner in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2021. 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.

Verify at the official NPI Registry.