Individual provider Active NPI

Abigail Hanna Ferraro, PA-C

  • Medical Physician Assistant
  • Glendale, AZ
National Provider Identifier
1871344911
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
9494 W Northern Ave Ste 101
Glendale, AZ 85305-1119
Phone
(623) 872-2226
NPI assigned
Mar 28, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

9494 W Northern Ave Ste 101
Glendale, AZ 85305-1119

Mailing address

17500 N 67TH Ave Apt 2115
Glendale, AZ 85308-1095
Phone (612) 419-5592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240903003160 AZ Practitioner - Physician Assistant 1355880402 Reassigns benefits to 2 organizations
I20250612003644 AK Practitioner - Physician Assistant 1355880402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1606 23Rd Ave
Fairbanks, AK 99701-6407
Phone (907) 455-4567

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interior Community Health Center CurrentSince May 15, 2025 Accepting new patients

Locations

1606 23rd Ave
Fairbanks, AK 99701
Phone (907) 455-4567

Interoperability endpoints

  • Direct secure messaging: abigail.ferraro.1@21673.direct.athenahealth.com
  • Direct secure messaging: abigail.ferraropac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 3

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.

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1871344911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 N 67TH AVE APT 2115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081095",
            "telephone_number": "612-419-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9494 W NORTHERN AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853051119",
            "telephone_number": "623-872-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "ABIGAIL",
        "middle_name": "HANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.