Jeffrey Abraham

Individual provider Active NPI Physician Assistant · Rockingham, VA

NPI 1891456471 · NPPES record last updated May 11, 2022

Key facts

NPI
1891456471
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
450 Monte Vista Dr
Rockingham, VA 22802-8010
Phone
(520) 456-5141
NPI assigned
Jan 5, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Firstline Healthcare PLLC (6 clinicians)

Practice addresses (Care Compare)

2043 S Neil St
Champaign, IL 61820-7219
Phone (217) 693-6220

Hospital & facility affiliations

  • Osf Sacred Heart Medical Center Hospital · Danville, IL · CCN 140093

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220328002514 IL Practitioner - Physician Assistant 3971998055 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Firstline Healthcare PLLC Current
since Oct 11, 2025
Accepting new patients
Firstline Healthcare PLLC Past
since Sep 28, 2025
Accepting new patients

Locations

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

450 Monte Vista Dr
Rockingham, VA 22802-8010

Mailing address

450 Monte Vista Dr
Rockingham, VA 22802-8010

Other providers in Rockingham, VA

All providers in Rockingham, VA · Physician Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.