Provider profile

Abby McDowell

Nurse Practitioner, Pediatrics

NPI 1104467976
3400 Spruce St, Philadelphia, PA 19104215-662-3228

Check your plan

Medicare Advantage plans for Philadelphia County, PA.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 26 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Abby on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 91 Medicare Advantage plans we show for Philadelphia County, PA in 2027

  • 26 list Abby
  • 63 not listed
  • 2 not checked yet

Humana

14 plans list Abby.

14plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5525-085-002Medicare.gov
    $0a month
  • Humana Total Complete (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH6622-037-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-221-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback with Rx (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5525-059-000Medicare.gov
    $0a month

Highmark Blue Cross Blue Shield or Highmark Blue Shield · Independence Blue Cross

12 plans list Abby.

12plans
  • Keystone 65 Assured Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3952-062-000Medicare.gov
    $0a month
  • Keystone 65 Focus Rx (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH3952-053-000Medicare.gov
    $0a month
  • Keystone 65 Liberty Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3952-059-000Medicare.gov
    $0a month
  • Keystone 65 Preferred Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3400 Spruce St, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3952-008-000Medicare.gov
    $0a month

2 more Highmark Blue Cross Blue Shield or Highmark Blue Shield plans haven't been checked yet.

Aetna Medicare

Not listed on its 11 plans here. That isn't proof they're out of network.

Clover Health

Not listed on its 2 plans here. That isn't proof they're out of network.

Devoted

Not listed on its 9 plans here. That isn't proof they're out of network.

Geisinger Gold

Not listed on its 3 plans here. That isn't proof they're out of network.

HealthSpring

Not listed on its 7 plans here. That isn't proof they're out of network.

Highmark Wholecare Medicare Assured

Not listed on its 2 plans here. That isn't proof they're out of network.

Jefferson Health Plans

Not listed on its 8 plans here. That isn't proof they're out of network.

Perennial Advantage

Not listed on its 1 plan here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 13 plans here. That isn't proof they're out of network.

UPMC for Life

Not listed on its 2 plans here. That isn't proof they're out of network.

UPMC for Life Complete Care

Not listed on its 1 plan here. That isn't proof they're out of network.

VISTA Health Plan Inc.

Not listed on its 1 plan here. That isn't proof they're out of network.

Wellcare

Not listed on its 3 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Abby takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

3400 Spruce St
Philadelphia, PA 19104

NPI Registry
NPI issued
2019
Registry record updated
Oct 10, 2019

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Abby McDowell?

In Philadelphia County, PA, 26 Medicare Advantage plans for 2027 list Abby in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO), Humana Total Complete (HMO) and Humana USAA Honor Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Abby McDowell take Humana Medicare Advantage plans?

Humana's own provider directory lists Abby on 14 Medicare Advantage plans for 2027 in Philadelphia County, PA, including Humana Essentials Plus Giveback (PPO) and Humana Total Complete (HMO). Confirm with the office or Humana before you enroll.

Does Abby McDowell take Highmark Blue Cross Blue Shield or Highmark Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists Abby on 12 Medicare Advantage plans for 2027 in Philadelphia County, PA, including Keystone 65 Assured Rx (HMO) and Keystone 65 Focus Rx (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Highmark Blue Cross Blue Shield or Highmark Blue Shield before you enroll.

Does Abby McDowell take Aetna Medicare Medicare Advantage plans?

The provider searches didn't return a listing for Abby on these 11 plans for 2027 in Philadelphia County, PA. Directories can lag, and a clinician can be in network at another office, so that isn't proof Abby is out of network. Ask the office or a Silverpath advisor to confirm.

Where does Abby McDowell practice?

3400 Spruce St, Philadelphia, PA 19104.

How do I confirm Abby is in my plan's network?

Call the member services number on your plan card and give them the NPI 1104467976, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Abby's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Abby McDowell on 63 plans from Aetna Medicare, Clover Health, Devoted, Geisinger Gold, HealthSpring, Highmark Wholecare Medicare Assured, Jefferson Health Plans, Perennial Advantage, UnitedHealthcare, UPMC for Life, UPMC for Life Complete Care, VISTA Health Plan Inc. and Wellcare in Philadelphia County, PA. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2019-10-10). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Abby McDowell or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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