Bonita Denise Abraham, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1019338 Issued in TX

Practice address

4222 Wendover Ave Ste 400
Odessa, TX 79762-5924

Phone

(432) 337-4782

Fax

(432) 653-4509

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Denise Abraham Other name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Physicians, PLLCGroup PAC ID 7214963958, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Hospital Hospital, Odessa, TX, CCN 450132
• Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bonita.abraham.fnp-c.1@10019.direct.athenahealth.com

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.

• First Physicians, PLLC

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1356374854

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  Multi-Specialty

  Medicare reassignment NPD

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

• Ector County Hospital District

  dba MCH Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  dba Medical Center Hospital

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation
• Odessa Texas Hospital Company LLC

  dba Odessa Regional Medical Center

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1306673009
  Care Compare affiliation

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1457957367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LIMESTONE AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797613117",
            "telephone_number": "432-664-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 WENDOVER AVE STE 400",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625924",
            "telephone_number": "432-337-4782",
            "fax_number": "432-653-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "BONITA",
        "middle_name": "DENISE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "ABRAHAM",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mohamed A Abdulati
• Getnet Aberra, MD
• Joseph Albert Abijay, MD
• Able Center for Independant Living
• Faria Eman Luthfi Abousher, M.D.
• Jansen Abrigo, PHARM.D.
• Al-Muntaser Billah Abu Ali, M.D.
• Accurate Health Care LLC
• Anne E Acreman, MD
• Acute Orthopedic Care Specialists PLLC

• Family Nurse Practitioner in Odessa, TX
• Providers in Odessa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.

Verify at the official NPI Registry.