Individual provider Active NPI

Abigail Brister Channell, NP

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1386462372
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37594 Issued in TN
Practice address
925 N Lincoln St Apt 15a
Denver, CO 80203-2768
Phone
(720) 500-5488
Fax
(720) 815-0378
NPI assigned
Sep 30, 2024
Last updated
Nov 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0104191-C-NP CO
Family Nurse Practitioner 363LF0000X 37594 TN Primary

Addresses

Primary practice location

925 N Lincoln St Apt 15a
Denver, CO 80203-2768

Mailing address

925 N Lincoln St Apt 15a
Denver, CO 80203-2768
Phone (720) 500-5488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241220003850 MS Practitioner - Nurse Practitioner 3476080938 Reassigns benefits to 1 organization
I20250109003527 TN Practitioner - Nurse Practitioner 3476080938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

1324 Wolf Park Dr
Germantown, TN 38138-1741
Phone (901) 755-9110

7900 Airways Blvd
Southaven, MS 38671-4113
Phone (662) 349-6950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of the Midsouth PLLC CurrentSince Dec 6, 2024 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients

Locations

7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490

7900 Airways Blvd
Bldg B100
Southaven, MS 38671
Phone (662) 349-2442

7900 Airways Blvd
Ste 100
Southaven, MS 38671
Phone (662) 349-2442

7900 Airways Blvd
Ste 101
Southaven, MS 38671
Phone (662) 349-6950

589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565

Gastro Onegovt Arhcl
New York, NY 10087

3350 N Germantown Rd
Bartlett, TN 38133
Phone (901) 377-2111

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

1324 Wolf Park Dr
Germantown, TN 38138
Phone (901) 755-9110

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793836800000",
    "number": "1386462372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N LINCOLN ST APT 15A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032768",
            "telephone_number": "720-500-5488",
            "fax_number": "720-815-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N LINCOLN ST APT 15A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032768",
            "telephone_number": "720-500-5488",
            "fax_number": "720-815-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNELL",
        "first_name": "ABIGAIL",
        "middle_name": "BRISTER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0104191-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.