Individual provider Active NPI

Angela Marie Frazer, FNP-C

  • Family Nurse Practitioner
  • Hilliard, OH
National Provider Identifier
1104451061
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026385 Issued in OH
Practice address
4961 Roberts Rd
Hilliard, OH 43026-8129
Phone
(513) 822-0776
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP500023401 DC
Family Nurse Practitioner 363LF0000X LG-0012934 DE
Family Nurse Practitioner 363LF0000X AC007032 MD
Family Nurse Practitioner 363LF0000X 5020867 NC
Family Nurse Practitioner 363LF0000X CNP241522 ME
Family Nurse Practitioner 363LF0000X 112538-23 NH
Family Nurse Practitioner 363LF0000X 26NJ15263400 NJ
Family Nurse Practitioner 363LF0000X 101.0137333 VT
Family Nurse Practitioner 363LF0000X 53-83819-051 KS
Family Nurse Practitioner 363LF0000X APRN11034928 FL
Family Nurse Practitioner 363LF0000X 4026730 KY
Family Nurse Practitioner 363LF0000X APRN04372 RI
Family Nurse Practitioner 363LF0000X GAA-NP003063 GA
Family Nurse Practitioner 363LF0000X APRN.CNP.026385 OH Primary
Family Nurse Practitioner 363LF0000X 14837 CT

Addresses

Primary practice location

4961 Roberts Rd
Hilliard, OH 43026-8129

Mailing address

710 N Main St
Springboro, OH 45066-8944
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC, ME, NH, RI, KS, KY, NJ, GA, WI, PA, SC, CT13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20250113000281 DC Practitioner - Nurse Practitioner 2668899253 Reassigns benefits to 1 organization
I20250113001139 NC Practitioner - Nurse Practitioner 2668899253 Reassigns benefits to 1 organization
I20250213003654 ME Practitioner - Nurse Practitioner 2668899253
I20250214001107 NH Practitioner - Nurse Practitioner 2668899253
I20250214001425 RI Practitioner - Nurse Practitioner 2668899253
I20250214002808 KS Practitioner - Nurse Practitioner 2668899253 Reassigns benefits to 1 organization
I20250221002727 KY Practitioner - Nurse Practitioner 2668899253
I20250324000485 NJ Practitioner - Nurse Practitioner 2668899253 Reassigns benefits to 1 organization
I20250326001256 GA Practitioner - Nurse Practitioner 2668899253
I20250403002822 WI Practitioner - Nurse Practitioner 2668899253 Reassigns benefits to 1 organization
I20250528002353 PA Practitioner - Nurse Practitioner 2668899253 Reassigns benefits to 1 organization
I20250529000102 SC Practitioner - Nurse Practitioner 2668899253 Reassigns benefits to 1 organization
I20250908002908 CT Practitioner - Nurse Practitioner 2668899253

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

PO Box
Suite 772
Woonsocket, RI 02895

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP500023401DCMDFamily Nurse Practitioner
LG-0012934DEMDFamily Nurse Practitioner
APRN11034928FLMDFamily Nurse Practitioner
53-83819-051KSMDFamily Nurse Practitioner
4026730KYMDFamily Nurse Practitioner
CNP241522MEMDFamily Nurse Practitioner
5020867NCMDFamily Nurse Practitioner
112538-23NHMDFamily Nurse Practitioner
26NJ15263400NJMDFamily Nurse Practitioner
APRN04372RIMDFamily Nurse Practitioner
101.0137333VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince May 20, 2025 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Mar 12, 2025 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Dec 31, 2024 Accepting new patients
MC Medical Group of DC, PC Family CurrentSince Nov 4, 2025 Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince May 20, 2025 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Dec 3, 2024 Accepting new patients
Minuteclinic Diagnostic of Wisconsin, LLC Family CurrentSince Mar 27, 2025 Accepting new patients

Locations

320 40th St NE
Washington, DC 20019
Phone (202) 236-1840

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

1650 N Farwell Ave
Milwaukee, WI 53202
Phone (414) 277-5044

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1104451061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668944",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 ROBERTS RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268129",
            "telephone_number": "513-822-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500023401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012934",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC007032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP241522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "112538-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15263400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0137333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83819-051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034928",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4026730",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04372",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026385",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.