Individual provider Active NPI

Jessy Samuel Abraham

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1457738890
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9226290 Issued in FL
Practice address
5010 S Florida Ave
Lakeland, FL 33813-2510
Phone
(863) 644-2411
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 APRN9226290 FL Primary
Family Nurse Practitioner 363LF0000X ARNP9226920 FL

Addresses

Primary practice location

5010 S Florida Ave
Lakeland, FL 33813-2510

Mailing address

5010 S Florida Ave
Lakeland, FL 33813-2510
Phone (863) 644-2411

Other practice location 1

302 W Fletcher Ave
Tampa, FL 33612-3415
Phone (813) 397-5300

Other practice location 2

13670 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 593-9848

Other names 1

  • Mrs. Jessy Samuel Abraham Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221108002148 FL Practitioner - Nurse Practitioner 1951778752 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9226290FLMDFamily Nurse Practitioner
ARNP9226920FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Urgent Care, LLC CurrentSince Apr 16, 2024 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
Quality Urgent Care CurrentSince May 19, 2025 Accepting new patients
Minuteclinic Primary Care Florida LLC Family CurrentSince Dec 4, 2025 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Mar 11, 2025 Accepting new patients
Baycare Urgent Care, LLC CurrentSince Apr 16, 2024 Accepting new patients
Minuteclinic LLC Family CurrentSince Dec 4, 2025 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Apr 16, 2024 Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

5010 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-2411

13670 Walsingham Rd
Largo, FL 33774
Phone (727) 593-9848

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

312 Lincoln Rd
Miami Beach, FL 33139
Phone (305) 531-7311

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

10241 W Broward Blvd
Plantation, FL 33324
Phone 9542360769 ext. 8221

10118 Gibsonton Dr
Riverview, FL 33578
Phone (813) 741-2592

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848

1707 E Bearss Ave
Tampa, FL 33613
Phone (813) 550-0000

Interoperability endpoints

  • Direct secure messaging: jessy.abrahamaprn@direct.mybaycare.org

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Urgent Care 2 clinicians
Minuteclinic LLC 576 clinicians

Practice addresses (Care Compare)

10118 Gibsonton Dr
Riverview, FL 33578-5305
Phone (813) 741-2592

5010 S Florida Ave
Lakeland, FL 33813-2510
Phone (866) 389-2727

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1457738890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132510",
            "telephone_number": "863-644-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132510",
            "telephone_number": "863-644-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 W Fletcher Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123415",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "fax_number": "813-738-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13670 Walsingham Rd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337743532",
            "country_code": "US",
            "telephone_number": "727-593-9848",
            "fax_number": "727-596-4532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JESSY",
        "middle_name": "SAMUEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9226290",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9226920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSY",
            "last_name": "ABRAHAM",
            "middle_name": "SAMUEL",
            "prefix": "MRS.",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.