Usha Thoppil Abraham, AGACNP

Individual provider Active NPI Gerontology Nurse Practitioner · Round Rock, TX

NPI 1316697352 · NPPES record last updated Mar 24, 2022

Key facts

NPI
1316697352
Entity type
Individual (NPI type 1)
Primary specialty
Gerontology Nurse Practitioner 363LG0600X
License
1071733 (TX)
Practice address
8500 Tad Park CV
Round Rock, TX 78681-3533
Phone
(512) 680-9143
NPI assigned
Mar 24, 2022
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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Hospital Medicine Physicians Group, LLC (132 clinicians)

Practice addresses (Care Compare)

1027 E Cherry St
Cushing, OK 74023-4101
Phone (918) 225-2915

Hospital & facility affiliations

  • Hillcrest Medical Center Hospital · Tulsa, OK · CCN 370001

Merit-based Incentive Payment System (MIPS)

Final score
73.31 of 100 (group)
Improvement activities
20
Cost
82.71

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220722002310 OK Practitioner - Nurse Practitioner 0345621280 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1071733TXMDGerontology Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1071733 TX Yes

Addresses

Primary practice location

8500 Tad Park CV
Round Rock, TX 78681-3533

Mailing address

St. John'S Medical Center
2100 Wheeling Ave
Tulsa, OK 74104
Phone (918) 744-2345

Other names

  • Usha Thoppil Abraham Former name

Other providers in Round Rock, TX

All providers in Round Rock, TX · Gerontology Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.