Nancy M Abrahamsen, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Saint Petersburg, FL
NPI 1184705295 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184705295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- ME47474 (FL)
- Practice address
- 204 37TH Avenue North
PMB 365
Saint Petersburg, FL 33704-1416 - Phone
- (727) 895-1149
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Simonmed Imaging Florida LLC
Practice addresses (Care Compare)
208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060321000272 | FL | Practitioner - Diagnostic Radiology | 1759398472 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32023 | AZ | MD | Diagnostic Radiology Physician |
| C-10005907 | DE | MD | Diagnostic Radiology Physician |
| ME47474 | FL | MD | Diagnostic Radiology Physician |
| 053326 | GA | MD | Diagnostic Radiology Physician |
| D47922 | MD | MD | Diagnostic Radiology Physician |
| 014157 | ME | MD | Diagnostic Radiology Physician |
| 200001047 | NC | MD | Diagnostic Radiology Physician |
| MD025965E | PA | MD | Diagnostic Radiology Physician |
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Tampa Bay Radiology Consultants | Diagnostic Radiology | Past | Accepting new patients |
| Price Hoffman Stone & Associates MDS PA | Past | Accepting new patients | |
| Hillsborough Radiology Consultants, PL | Diagnostic Radiology | Past | Accepting new patients |
| Innovative Imaging Associates, PA | Diagnostic Radiology | Past | Accepting new patients |
| Carrollwood Diagnostic Imaging | Diagnostic Radiology | Past | Accepting new patients |
Locations
16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME47474 | FL | Yes |
| Diagnostic Radiology Physician | 2085R0202X | 32023 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | C-10005907 | DE | |
| Diagnostic Radiology Physician | 2085R0202X | 053326 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | D47922 | MD | |
| Diagnostic Radiology Physician | 2085R0202X | 014157 | ME | |
| Diagnostic Radiology Physician | 2085R0202X | MD025965E | PA | |
| Diagnostic Radiology Physician | 2085R0202X | NC |
Addresses
Primary practice location
204 37TH Avenue North
PMB 365
Saint Petersburg, FL 33704-1416
Mailing address
204 37TH Avenue North
PMB 365
Saint Petersburg, FL 33704-1416
Other providers in Saint Petersburg, FL
- Mariam Aboulela
- Above Board Healthcare LLC
- Above Board Healthcare LLC
- Abraham I Awwad DO, LLC
- David Abraham
- Jason Craig Abrahamson
- Sarah Abramovitz
- Harvey B Abrams
- Elizabeth Abramski
- Arnold Abud
All providers in Saint Petersburg, FL · Diagnostic Radiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.