Individual provider Active NPI

Alexis Oliver Frasier, FNP-C

  • Family Nurse Practitioner
  • Ruston, LA
National Provider Identifier
1043995301
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
204174 Issued in LA
Practice address
707 S Vienna St
Ruston, LA 71270-5845
Phone
(318) 224-3044
NPI assigned
Jun 15, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 204174 LA Primary

Addresses

Primary practice location

707 S Vienna St
Ruston, LA 71270-5845

Mailing address

111 Edmiston LN
Ruston, LA 71270-3567
Phone (318) 243-2265

Other practice location 1

206 McMillan Rd Ste 1
West Monroe, LA 71291-5322
Phone (318) 350-6644

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241121003288 LA Practitioner - Nurse Practitioner 8325571110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hill Medical Services, LLCGroup PAC ID 5799920773, 7 clinicians

Practice addresses (Care Compare)

707 S Vienna St
Diabetes Care Center
Ruston, LA 71270-5845
Phone (318) 224-3044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
204174LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Medical Services, LLC Family CurrentSince Sep 7, 2024 Accepting new patients

Locations

707 S Vienna St
Ruston, LA 71270
Phone (318) 224-3044

Organizations & group practices 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1043995301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EDMISTON LN",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703567",
            "telephone_number": "318-243-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705845",
            "telephone_number": "318-224-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 McMillan Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712915322",
            "country_code": "US",
            "telephone_number": "318-350-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRASIER",
        "first_name": "ALEXIS",
        "middle_name": "OLIVER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "204174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.