Medicare Enrollment Information Individual Name: JEENA ABRAHAM Individual Specialty: NURSE PRACTITIONER Individual National Provider Identifier (NPI): 1467901587 Individual Provider Transaction Access Number (PTAN): 1P1654 Group Legal Business Name (LBN): Columbus Urgent Care PA Group NPI: 1215330501 Group PTAN: 399951 Reassignment Effective Date: FEBRUARY 6, 2021 Changed Information: N/A