Michael Adrian Frost, FNP, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3481 Issued in AZ

Practice address

712 E Pine Knoll Dr
Prescott, AZ 86303-5223

Phone

(928) 899-2967

Fax

(928) 237-3437

NPI assigned

Nov 1, 2006

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

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

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Yavapai Primary Care

  • Family Medicine Physician
  • Prescott Valley, AZ
  • NPI 1346871076
  Medicare reassignment NPD
• West Yavapai Guidance Clinic Inc

  dba Polara Health

  • Adult Mental Health Clinic/Center
  • Prescott Valley, AZ
  • NPI 1750743688
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1114004587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 E PINE KNOLL DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035223",
            "telephone_number": "928-899-2967",
            "fax_number": "928-237-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E PINE KNOLL DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035223",
            "telephone_number": "928-899-2967",
            "fax_number": "928-237-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "MICHAEL",
        "middle_name": "ADRIAN",
        "name_prefix": "Mr.",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN123750",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "AZ",
            "license": "RN123750",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP3481",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP3481",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z200193",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12366810",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580425",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoey L Freebairn, NMD
• Freedom Performance, LLC
• Freedom Recovery Center, LLC.
• Austin Freeman, PHARMD
• Laurel Freeman, RN
• Tammy Frost, PA-C
• Linda Scruggs Fry
• Vincent Lucas David Fryer, MD
• FSL Programs
• FSL Programs

• Family Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.