Active NPI
Jessy Samuel Abraham
- Family Nurse Practitioner
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9226290
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9226290 | FL | MD | Family Nurse Practitioner |
| ARNP9226920 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Urgent Care, LLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Quality Urgent Care | Current | Accepting new patients | |
| Minuteclinic Primary Care Florida LLC | Family | Current | Accepting new patients |
| Privia Medical Group Florida, LLC | Current | Accepting new patients | |
| Baycare Urgent Care, LLC | Current | Accepting new patients | |
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | 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
- 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.
-
- Family Nurse Practitioner
- Miramar, FL
- NPI 1891502837
Family, FL
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- General Practice Physician
- New Port Richey, FL
- NPI 1629514070
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 CareMinuteclinic LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.