Individual provider Active NPI

Abigail Udeme

  • Gerontology Nurse Practitioner
  • Hurst, TX
National Provider Identifier
1457158479
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1191763 Issued in TX
Practice address
117 W Bedford Euless Rd
Hurst, TX 76053-4006
Phone
(817) 268-0041
Fax
(817) 977-9037
NPI assigned
Feb 27, 2025
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1191763 TX Primary

Addresses

Primary practice location

117 W Bedford Euless Rd
Hurst, TX 76053-4006

Mailing address

117 W Bedford Euless Rd
Hurst, TX 76053-4006
Phone (817) 268-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20250513003467 TX Practitioner - Nurse Practitioner 8123076544 Reassigns benefits to 2 organizations

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
Verdure Health ServicesGroup PAC ID 3971917931, 6 clinicians
PS Health Services LLCGroup PAC ID 7214311844, 6 clinicians

Practice addresses (Care Compare)

105 Decker CT
Suite 140
Irving, TX 75062-2269
Phone (210) 201-4546

3008 Peppercorn Dr
Euless, TX 76039-4140
Phone (817) 527-1182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1191763TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
US Home Health Care Inc CurrentSince Oct 1, 2007 Accepting new patients
Verdure Health Services CurrentSince Jul 9, 2025 Accepting new patients
PS Health Services LLC CurrentSince Apr 25, 2025 Accepting new patients

Locations

117 W Bedford Euless Rd
Hurst, TX 76053
Phone (817) 268-0041

105 Decker Ct
Ste 140
Irving, TX 75062
Phone (210) 201-4546

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
US Home Health Care IncHurst, TX, CCN 679473 Home health agency 5% Or Greater Direct Ownership Interest
Corporate Director
Dec 1, 2004
Jan 12, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1457158479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W BEDFORD EULESS RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534006",
            "telephone_number": "817-268-0041",
            "fax_number": "817-977-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W BEDFORD EULESS RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534006",
            "telephone_number": "817-268-0041",
            "fax_number": "817-977-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEME",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1191763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.