DR. MARQUETA V ABRAHAM DNP, PMHNP-BC
NPI 1447641634
Nurse Practitioner - Psychiatric/Mental Health in Bolivar, TN

Q: What is Marqueta Abraham's NPI number?

The NPI number for Marqueta Abraham is 1447641634. It was assigned to this individual provider in the NPPES registry on February 10, 2015.

Q: What is Marqueta Abraham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Marqueta Abraham was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 10, 2015PECOS EnrolledAccepts Medicare Assignment

11100 HIGHWAY 64, BOLIVAR, TN 38008(731) 228-0634 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2023, Nov 9, 2022 (2 updates tracked since 2022).

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About Dr. Marqueta V Abraham Dnp, Pmhnp-bc NPPES

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

DR. MARQUETA V ABRAHAM DNP, PMHNP-BC (NPI 1447641634) is an individual psychiatric/mental health provider in Bolivar, Tennessee, licensed in Tennessee (32907) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1447641634

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. MARQUETA V ABRAHAMCredential: DNP, PMHNP-BC

Location Address11100 HIGHWAY 64Bolivar, TN 38008-1554

Mailing Address11100 Highway 64Bolivar, TN 38008-1554 · (731) 228-0634

Phone(731) 228-0634

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 10, 2015

Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2023

✔ NPI 1447641634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TN · 32907

11100 HIGHWAY 64, Bolivar, TN 38008

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marqueta V Abraham Dnp, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466817275

PECOS Enrollment IDI20230501002157

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

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

State Of Tennessee-Western Mental Health Institute

0.4 mi

Psychiatric Hospital

11100 HIGHWAY 64
Bolivar, TN 38008

Reassigned Medicare billing, Tennessee enrollment
30 clinicians in this Medicare group

NPI 1538114020 (731) 228-2000

Alliance Healthcare Services

55 mi

Community/Behavioral Health

2150 WHITNEY AVE
Memphis, TN 38127

Reassigned Medicare billing, Tennessee enrollment
86 clinicians in this Medicare group

NPI 1295898393 (901) 353-5440

Clr Mind Psychiatry, LLC

59 mi

Psychiatric/Mental Health

4466 ELVIS PRESLEY BLVD STE 119
Memphis, TN 38116

Reassigned Medicare billing, Tennessee enrollment

NPI 1144049024 (901) 878-9147

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 38008 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

MRS. TAMISHA SLAYTON HODUM APRN, FNP-C

Nurse Practitioner (Family)