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DOROTHY NAI ABBEY
NPI 1194535336
Nurse Practitioner - Family in Phoenix, AZ

Active since January 09, 2025PECOS Enrolled
15202 N 40TH ST APT 182, PHOENIX, AZ 85032(859) 380-3189 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dorothy Nai Abbey NPPES

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

DOROTHY NAI ABBEY (NPI 1194535336) is an individual family provider in Phoenix, Arizona, licensed in Arizona (2024041588) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194535336
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOROTHY NAI ABBEY
Location Address15202 N 40TH ST APT 182Phoenix, AZ 85032-4656
Mailing Address15202 N 40th St Apt 182Phoenix, AZ 85032-4656 · (859) 380-3189
Phone(859) 380-3189
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1194535336 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 AZ · 2024041588
15202 N 40TH ST APT 182, Phoenix, AZ 85032
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorothy Nai Abbey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113433780
PECOS Enrollment IDI20250721003077
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 Reassignments

3

Medicare enrollment records show Dorothy Abbey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siren Medical PC
2.0 mi
Geriatric Medicine
14631 N CAVE CREEK RD STE 104
Phoenix, AZ 85022
  • Reassigned Medicare billing, Arizona enrollment
  • 23 clinicians in this Medicare group
NPI 1073148326 (623) 624-7425
Dermright LLC
16 mi
Dermatology
13771 N FOUNTAIN HILLS BLVD # 114-103
Fountain Hills, AZ 85268
  • Reassigned Medicare billing, Arizona enrollment
  • 12 clinicians in this Medicare group
NPI 1346725488 (888) 662-3376
Theoria Medical
1,662 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Arizona enrollment
  • 22 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Dorothy Abbey's NPI number?

The NPI number for Dorothy Abbey is 1194535336. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Dorothy Abbey located?

Dorothy Abbey practices at 15202 N 40th St Apt 182, Phoenix, AZ 85032. The listed phone number is (859) 380-3189.

What is Dorothy Abbey's specialty?

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

Is Dorothy Abbey enrolled in Medicare?

Yes. Dorothy Abbey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dorothy Abbey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dorothy Abbey reassigns Medicare benefits to 3 organizations: Siren Medical PC (Phoenix, AZ), Dermright LLC (Fountain Hills, AZ) and Theoria Medical (Novi, MI). Each 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 Dorothy Abbey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dorothy Abbey accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Dorothy Abbey 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 Dorothy Abbey was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.