ALISSA MARIE ABRAHAM DNP APRN AGNP-C NPI 1396417572

NPI Information

  • NPI: 1396417572
  • Provider Name: ALISSA MARIE ABRAHAM, DNP, APRN, AGNP-C
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3433 BROADWAY ST NE STE 300
    MINNEAPOLIS, MN
    ZIP 55413
  • Phone: (635) 877-7377

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NPI Details

Alissa Marie Abraham, DNP, APRN, AGNP-C is a gerontology nurse practitioner in Minneapolis, MN with 4 years of experience. Alissa Marie Abraham, DNP, APRN, AGNP-C NPI is 1396417572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN
ZIP 55413-761
Phone: (635) 877-7377
Fax: (763) 587-7069

The NPI 1396417572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)

The enumeration date for this NPI number is 10/5/2021 and was last updated on 5/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner9665MINNESOTANo
2363LG0600XNurse PractitionerGerontology9665MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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