ABBAS FAMILY MEDICINE
NPI 1083286728
Nurse Practitioner - Family in Arkansas City, KS

Active since July 13, 2021CLIA 17D2267352 · Waiver
2508 EDGEMONT DR STE 2, ARKANSAS CITY, KS 67005(620) 442-7120 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2022, Feb 7, 2022, Jul 13, 2021 (3 updates tracked since 2021).

About Abbas Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABBAS FAMILY MEDICINE (NPI 1083286728) is a healthcare organization registered as a family in Arkansas City, Kansas and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through August 23, 2026 and lists Stacey Jervis, Owner, as its authorized official.

NPPES Registry Identity

NPI1083286728
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameABBAS FAMILY MEDICINE
Location Address2508 EDGEMONT DR STE 2Arkansas City, KS 67005-3844
Mailing AddressPo Box 857Arkansas City, KS 67005-0857 · (620) 442-7120
Organization SubpartNo
Authorized OfficialStacey JervisOwner · (620) 442-7120
Enumeration DateJuly 13, 2021
Last NPPES UpdateMay 2, 20223 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
NPI 1083286728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2508 EDGEMONT DR STE 2, Arkansas City, KS 67005

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2267352

Abba's Family Medicine · Arkansas City, KS
Active · expires Aug 23, 2026
CLIA Number17D2267352
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorStacey Jervis
Laboratory Phone(620) 442-7120
Laboratory LocationAbba's Family Medicine2508 Edgemont Dr Suite 2, Arkansas City, KS 67005
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2508 EDGEMONT DR STE 2
ARKANSAS CITY, KS 67005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abbas Family Medicine's NPI number?

The NPI number for Abbas Family Medicine is 1083286728. It was assigned to this organization in the NPPES registry on July 13, 2021.

Where is Abbas Family Medicine located?

Abbas Family Medicine is located at 2508 Edgemont Dr Ste 2, Arkansas City, KS 67005. The listed phone number is (620) 442-7120.

What is Abbas Family Medicine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Abbas Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2267352) is associated with this NPI, valid through August 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Abbas Family Medicine accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Abbas Family Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abbas Family Medicine was last updated on May 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.