SOPHIA ABRAHAM NP
NPI 1093558165
Nurse Practitioner - Family in Waterford, MI

Active since June 17, 2024PECOS Enrolled
5758 COOLEY LAKE RD, WATERFORD, MI 48327(855) 466-3631(810) 244-0226 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sophia Abraham Np NPPES

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

SOPHIA ABRAHAM NP (NPI 1093558165) is an individual family provider in Waterford, Michigan, licensed in Michigan (4704187670) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093558165
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOPHIA ABRAHAMCredential: NP
Location Address5758 COOLEY LAKE RDWaterford, MI 48327-3073
Mailing Address5758 Cooley Lake RdWaterford, MI 48327-3073 · (855) 466-3631 · Fax (810) 244-0226
Fax(810) 244-0226
Sole ProprietorNo
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1093558165 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
License✔ Licensed in MI · 4704187670
5758 COOLEY LAKE RD, Waterford, MI 48327

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Abraham Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Abraham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gerontology
4568 W WALTON BLVD STE D
Waterford, MI 48329
  • Reassigned Medicare billing, Michigan enrollment
  • 72 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
19 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48327 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
5758 COOLEY LAKE RD
WATERFORD, MI 48327
Dietitian, Registered
5758 COOLEY LAKE RD
WATERFORD, MI 48327
Nurse Practitioner
5758 COOLEY LAKE RD
WATERFORD, MI 48327
Registered Nurse (Community Health)
5758 COOLEY LAKE RD
WATERFORD, MI 48327
Nurse Practitioner (Family)
5758 COOLEY LAKE RD
WATERFORD, MI 48327
Nurse Practitioner
5758 COOLEY LAKE RD
WATERFORD, MI 48327
Nurse Practitioner (Adult Health)
5758 COOLEY LAKE RD
WATERFORD, MI 48327
In Home Supportive Care
5758 COOLEY LAKE RD
WATERFORD, MI 48327

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 Sophia Abraham's NPI number?

The NPI number for Sophia Abraham is 1093558165. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Sophia Abraham located?

Sophia Abraham practices at 5758 Cooley Lake Rd, Waterford, MI 48327. The listed phone number is (855) 466-3631.

What is Sophia Abraham's specialty?

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

Is Sophia Abraham enrolled in Medicare?

Yes. Sophia Abraham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Abraham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Abraham reassigns Medicare benefits to Transitional Care Services, LLC (Waterford, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Abraham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Abraham was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.