Antonia Jacqueline Abrahamsen, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209014663 Issued in IL

Practice address

2009 E Oakland Ave
Bloomington, IL 61701-5756

Phone

(309) 287-8737

NPI assigned

Aug 4, 2016

Last updated

Aug 4, 2016By 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

Medicare fee-for-service enrollment

Enrolled in IL

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Shoulder Center S CGroup PAC ID 9537344403, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aabrahamsenaprn322908@carlehiedirect.net

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.

• Orthopedic & Shoulder Center, S.C.

  • Orthopaedic Surgery Physician
  • Normal, IL
  • NPI 1437453073
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1720532005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 E OAKLAND AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 E OAKLAND AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015756",
            "telephone_number": "309-287-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSEN",
        "first_name": "ANTONIA",
        "middle_name": "JACQUELINE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Balanced Approach to Wellness PLLC
• A Caring Touch of McLean County, Inc.
• Whitney Aaron
• Peter S Abadeer, D.O.
• Gil B Abelita, MD
• Eric Abreu, D.D.S
• Accelerated Rehabiliation Centers LTD (Athletico Physical Therapy)
• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Access Dental of Bloomington PLLC
• Accident & Sports Clinic SC

• Family Nurse Practitioner in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.