Individual provider Active NPI

Kimberly Frazier, ARNP

  • Primary Care Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1225420243
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9418919 Issued in FL
Practice address
4333 W St Joe Hwy
Lansing, MI 48917-4100
Phone
(517) 321-1525
Fax
(517) 321-7059
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9418919 FL Primary

Addresses

Primary practice location

4333 W St Joe Hwy
Lansing, MI 48917-4100

Mailing address

4333 W St Joe Hwy
Lansing, MI 48917-4100
Phone (517) 321-1525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150422000570 MI Practitioner - Nurse Practitioner 0244558328 Reassigns benefits to 1 organization
I20180221001187 FL Practitioner - Nurse Practitioner 0244558328

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.98 of 100Reported as group
Quality
99.52
Improvement activities
40
Cost
43.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua P June DO CurrentSince Jun 1, 2020 Accepting new patients

Locations

4052 Legacy Pkwy
Ste 200
Lansing, MI 48911
Phone (517) 272-9700

Interoperability endpoints

  • Direct secure messaging: kimberly.frazier.p1@direct.glcor.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1225420243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174100",
            "telephone_number": "517-321-1525",
            "fax_number": "517-321-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174100",
            "telephone_number": "517-321-1525",
            "fax_number": "517-321-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9418919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.