Individual provider Active NPI

Jordan Mae Frazee, AUD

  • Audiologist
  • Bloomington, IN
National Provider Identifier
1205627460
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002953A Issued in IN
Practice address
2920 S McIntire Dr Ste 350
Bloomington, IN 47403-4215
Phone
(812) 353-3277
Fax
(812) 333-2433
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002953A IN Primary
Audiologist 231H00000X NC

Addresses

Primary practice location

2920 S McIntire Dr Ste 350
Bloomington, IN 47403-4215

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

110 Charlois Blvd
Winston Salem, NC 27103-1522
Phone (336) 768-3361

Other identifiers 1

IdentifierTypeStateIssuer
300131289MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfrazee@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251013000661 NC Practitioner - Qualified Audiologist 2264929504 Reassigns benefits to 1 organization
I20260512003979 IN Practitioner - Qualified Audiologist 2264929504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Ear, Nose and Throat Associates, P.a.Group PAC ID 4486617032, 28 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

110 Charlois Blvd
Winston Salem, NC 27103-1522
Phone (336) 768-3361

2920 S McIntire Dr
Bloomington, IN 47403-4221
Phone (888) 484-3258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Ear, Nose & Throat Associates, P.a. CurrentSince Jun 11, 2025 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. PastSince May 18, 2025 Accepting new patients

Locations

110 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 768-3361

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.

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1205627460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 S MCINTIRE DR STE 350",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034215",
            "telephone_number": "812-353-3277",
            "fax_number": "812-333-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Charlois Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031522",
            "country_code": "US",
            "telephone_number": "336-768-3361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZEE",
        "first_name": "JORDAN",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002953A",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300131289",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfrazee@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2920 S McIntire Dr Ste 350",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474034215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.

Verify at the official NPI Registry.