Active NPI
Ellen Abiera, APN
- Family Nurse Practitioner
- Columbus, OH
National Provider Identifier
1154834836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.016389
- Practice address
- 4200 Regent St Ste 200
Columbus, OH 43219-6229 - Phone
- (877) 870-1775
- Fax
- (614) 968-8840
- NPI assigned
- Nov 16, 2017
- 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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180425001241 | IL | Practitioner - Nurse Practitioner | 4385908474 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.016389 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakton Health Center SC | Current | Accepting new patients |
Locations
4860 Oakton St
Skokie, IL 60077
Phone (847) 215-8666
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJJBCA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.016389 | IL | Primary |
Addresses
Primary practice location
4200 Regent St Ste 200
Columbus, OH 43219-6229
Mailing address
5253 N Liano Ave Apt 2
Chicago, IL 60630-1419
Phone (630) 802-0608
NPI Registry JSON
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1154834836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5253 N LIANO AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606301419",
"telephone_number": "630-802-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 REGENT ST STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196229",
"telephone_number": "877-870-1775",
"fax_number": "614-968-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABIERA",
"first_name": "ELLEN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.016389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.