Jerrica Nicole Frazier, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906624 Issued in MS

Practice address

130 N High St
Shubuta, MS 39360-8882

Phone

(601) 687-5859

NPI assigned

Jun 3, 2024

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minuteclinic Diagnostic of Louisiana, LLC

  • Family Nurse Practitioner
  • New Orleans, LA
  • NPI 1285975482

  Family, LA

  Medicare reassignment Care Compare group NPD
• Outreach Health Services,Inc.

  • Community Health Clinic/Center
  • Shubuta, MS
  • NPI 1548359565
  NPD
• Outreach Health Services,Inc.

  • Health Maintenance Organization
  • Heidelberg, MS
  • NPI 1255521480
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Diagnostic of Louisiana, L.L.C. 4 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFHEBA/Endpoint/AFHEBA

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1033950217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "VOSSBURG",
            "state": "MS",
            "postal_code": "393660284",
            "telephone_number": "601-616-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N HIGH ST",
            "city": "SHUBUTA",
            "state": "MS",
            "postal_code": "393608882",
            "telephone_number": "601-687-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "JERRICA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "237622",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaquina Adams
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• Heart and Soul Acadmey LLC
• Irvin Charles Jackson
• Jacquenett Jackson
• Jaquilla Q Jones, BSN RN
• Kingdom Care, LLC

• All providers in Shubuta, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.