ABISOLA IBRAHIM WHNP/AGPCNP
NPI 1649798232
Nurse Practitioner - Gerontology in San Antonio, TX

Active since September 02, 2017PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2022, Jul 19, 2022, Nov 6, 2020 and 1 more (4 updates tracked since 2017).

About Abisola Ibrahim Whnp/agpcnp NPPES

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

ABISOLA IBRAHIM WHNP/AGPCNP (NPI 1649798232) is an individual gerontology provider in San Antonio, Texas, licensed in Texas (1055965) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649798232
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameABISOLA IBRAHIMCredential: WHNP/AGPCNP
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 2, 2017
Last NPPES UpdateAugust 4, 20224 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1649798232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1055965
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 22921 (TN), 2020023180 (MO)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 2020023180 (MO)
4502 MEDICAL DR, San Antonio, TX 78229

Accepted 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

Abisola Ibrahim Whnp/agpcnp 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 ID6800154469
PECOS Enrollment IDI20220629002376
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 Abisola Ibrahim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral and Maxillofacial Surgery
7703 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At San Antonio
  • 2,397 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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229

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 Abisola Ibrahim's NPI number?

The NPI number for Abisola Ibrahim is 1649798232. It was assigned to this individual provider in the NPPES registry on September 2, 2017.

Where is Abisola Ibrahim located?

Abisola Ibrahim practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-4000.

What is Abisola Ibrahim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Abisola Ibrahim enrolled in Medicare?

Yes. Abisola Ibrahim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Abisola Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abisola Ibrahim reassigns Medicare benefits to Uthscsa Dental School (San Antonio, TX). 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 Abisola Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abisola Ibrahim accept?

Health plans from Blue Cross and Blue Shield of Texas, Community First and Imperial Insurance Companies, Inc. list Abisola Ibrahim 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.

Is Abisola Ibrahim affiliated with any hospitals?

According to CMS data, Abisola Ibrahim is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Abisola Ibrahim was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.