Jennifer V Abraham, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0004068 Issued in CO

Practice address

3433 Warren Farm Dr
Fort Collins, CO 80526-6344

Phone

(651) 319-1563

NPI assigned

Nov 11, 2014

Last updated

Jul 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Direct Orthopedic Care LLCGroup PAC ID 2163648155, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006
• Treasure Valley Hospital Hospital, Boise, ID, CCN 130063

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Direct Orthopedic Care LLC

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1356769434
  Medicare reassignment Care Compare group NPD
• Allied Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1750563540
  Medicare reassignment NPD
• Allied Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Meridian, ID
  • NPI 1336816909
  NPD
• Colorado Urgent Care PLLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Aurora, CO
  • NPI 1255949681
  NPD (past)

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

• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation
• Treasure Valley Hospital Limited Partnership

  • Special Hospital
  • Boise, ID
  • NPI 1720040132
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1194121657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 WARREN FARM DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266344",
            "telephone_number": "651-319-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 WARREN FARM DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266344",
            "telephone_number": "651-319-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JENNIFER",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0004068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10237259",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ability in Motion, LLC
• Able Kids Foundation
• Ablelight Inc.
• Brecklen Ables, CPM
• Above and Beyond Therapy, LLC (Lore Lactation and Therapy)
• Meghan Marie Walsh Abraham, AU.D.
• Bradley Seth Abrahamson, M.D.
• Lara Abrahamson, MD
• Arica Abrames, D.D.S.
• Absolute Dental, P.C.

• Medical Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.
• Medicare Care Compare (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.