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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRISCILLA ABRAHAM PA-C
NPI 1174310064
Physician Assistant in Fort Worth, TX

Active since April 23, 2025PECOS Enrolled
4701 BOAT CLUB RD STE 200, FORT WORTH, TX 76135(817) 237-0515(817) 237-0515 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 14, 2026, Nov 12, 2025 (2 updates tracked since 2025).

About Priscilla Abraham Pa-c NPPES

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

PRISCILLA ABRAHAM PA-C (NPI 1174310064) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA19154) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Galveston, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174310064
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePRISCILLA ABRAHAMCredential: PA-C
Location Address4701 BOAT CLUB RD STE 200Fort Worth, TX 76135-5285
Mailing Address301 University BlvdGalveston, TX 77555-5302
Phone(817) 237-0515
Fax(817) 237-0515
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 23, 2025
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1174310064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA19154
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4701 BOAT CLUB RD STE 200, Fort Worth, TX 76135
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Secondary Practice Location 1

Location 1301 University BlvdGalveston, TX 77555-5302 · Phone (409) 772-3048

Other Identifiers 1

Medicaid1174310064TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priscilla Abraham Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002318532
PECOS Enrollment IDI20250904004062
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76135 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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 4

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

ALLISON LEE
Nurse Practitioner (Family)
4701 BOAT CLUB RD STE 200
FORT WORTH, TX 76135
Tarrant County (817) 237-0515
DEREK LEE WRZESINSKI PA
Physician Assistant
4701 BOAT CLUB RD STE 200
FORT WORTH, TX 76135
Tarrant County (817) 237-0515
NELLY WAKARIA MWANIKI FNP-C
Nurse Practitioner (Family)
4701 BOAT CLUB RD STE 200
FORT WORTH, TX 76135
Tarrant County (817) 237-0515
MRS. LAUREN MEGAN ALVARADO NP
Nurse Practitioner (Family)
4701 BOAT CLUB RD STE 200
FORT WORTH, TX 76135
Tarrant County (817) 237-0515

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 Priscilla Abraham's NPI number?

The NPI number for Priscilla Abraham is 1174310064. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Priscilla Abraham located?

Priscilla Abraham practices at 4701 Boat Club Rd Ste 200, Fort Worth, TX 76135. The listed phone number is (817) 237-0515.

What is Priscilla Abraham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Priscilla Abraham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Priscilla Abraham was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.