Active NPI
Elizabeth A Fraser, CRNA
- Certified Registered Nurse Anesthetist
- Marion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 12699-NA
- Practice address
- 1050 Delaware Ave
Marion, OH 43302-6416 - Phone
- (740) 383-7778
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 12699-NA | OH | Primary |
Addresses
Primary practice location
1050 Delaware Ave
Marion, OH 43302-6416
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Phone (419) 520-2495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0054449 | Medicaid | OH |
Other names 1
- Elizabeth Freeman Duckro Clark
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
730 W Market St
Lima, OH 45801-4602
Phone (419) 277-3361
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.5 of 100
- Quality
- 71.52
- Promoting interoperability
- 95.57
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12699-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Area Physicians LLC | Current | Accepting new patients | |
| Anesthesia Associates of Lima Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grant Anesthesia Services LTD | Past | Accepting new patients |
Locations
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
L3688
Columbus, OH 43260
111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871
4845 Knightsbridge Blvd
Ste 110
Columbus, OH 43214
Phone (614) 273-0400
Dept L3652
Columbus, OH 43260
561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Lima, OH
- NPI 1487662300
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619230802
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1366431132
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
-
- General Acute Care Hospital
- Sidney, OH
- NPI 1639174204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1174811723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7527",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430170727",
"telephone_number": "419-520-2495",
"fax_number": "614-544-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DELAWARE AVE",
"city": "MARION",
"state": "OH",
"postal_code": "433026416",
"telephone_number": "740-383-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "12699-NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0054449",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "FREEMAN DUCKRO CLARK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.