Individual provider Active NPI

Mini Saji Abraham, CRNP

  • Nurse Practitioner
  • Wyomissing, PA
National Provider Identifier
1679756183
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP008988 Issued in PA
Practice address
2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone
(610) 685-5864
Fax
(610) 929-1528
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP008988 PA Primary
Family Nurse Practitioner 363LF0000X SP008988 PA

Addresses

Primary practice location

2608 Keiser Blvd
Wyomissing, PA 19610-3333

Mailing address

2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 685-5864

Other practice location 1

542 N Lewis Rd Ste 207
Limerick, PA 19468-3521
Phone (610) 685-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080530000417 PA Practitioner - Nurse Practitioner 2769552975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Care Associates of the University of Pennsylvania Health. 591 clinicians

Practice addresses (Care Compare)

701 E Marshall St
West Chester, PA 19380-4412

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP008988PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Apr 1, 2014 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Apr 1, 2014 Accepting new patients
Chester County Hospital CurrentSince Sep 1, 2013 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Chester County Hospital CurrentSince Sep 1, 2013 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Apr 21, 2025 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Apr 21, 2025 Accepting new patients
Respiratory Specialists LTD PastSince Apr 1, 2026 Accepting new patients

Locations

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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.

Hospital & facility affiliations 1

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": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1679756183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103333",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103333",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 N Lewis Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Limerick",
            "state": "PA",
            "postal_code": "194683521",
            "country_code": "US",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "MINI",
        "middle_name": "SAJI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008988",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.