Individual provider Active NPI

Eileen Catherine Frager, FNP

  • Nurse Practitioner
  • Cornelius, NC
National Provider Identifier
1255806030
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011110 Issued in NC
Practice address
19485 Old Jetton Rd Ste 270
Cornelius, NC 28031-6592
Phone
(980) 488-9740
Fax
(980) 488-9750
NPI assigned
Oct 9, 2018
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011110 NC Primary
Registered Nurse 163W00000X 163276 NC

Addresses

Primary practice location

19485 Old Jetton Rd Ste 270
Cornelius, NC 28031-6592

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-4830

Other practice location 1

11840 Southmore Dr Ste 100
Charlotte, NC 28277-4821
Phone (704) 316-4440

Other practice location 2

14330 Oakhill Park Ln Ste 200
Huntersville, NC 28078-3407
Phone (704) 316-4830

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address efrager40761@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20181205001011 NC Practitioner - Nurse Practitioner 1951645720 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NMG Health Services LLCGroup PAC ID 4789057753, 40 clinicians

Practice addresses (Care Compare)

6331 Carmel Rd
Suite 102
Charlotte, NC 28226-8286
Phone (704) 316-2557

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163276NCMDRegistered Nurse
5011110NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Thomasville Medical Center, LLC Current Accepting new patients
The Presbyterian Hospital Current Accepting new patients
NMG Health Services, LLC CurrentSince Dec 3, 2022 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Jan 25, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 7, 2019 Accepting new patients
NMG Health Services LLC Current Accepting new patients
Novant Medical Group, Inc. CurrentSince Mar 13, 2020 Accepting new patients
NMG Health Services LLC CurrentSince Sep 22, 2025 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Jan 25, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Dec 26, 2024 Accepting new patients
The Presbyterian Hospital CurrentSince Dec 26, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 7, 2019 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Sep 22, 2025 Accepting new patients
NMG Health Services, LLC CurrentSince Dec 3, 2022 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

301 S College St
Ste 250
Charlotte, NC 28202
Phone (704) 316-4810

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

19485 Old Jetton Rd
Ste 270
Cornelius, NC 28031
Phone (704) 384-7700

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

1551 Westbrook Plaza Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 896-1477

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1255806030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-4830",
            "fax_number": "704-316-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19485 OLD JETTON RD STE 270",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316592",
            "telephone_number": "980-488-9740",
            "fax_number": "980-488-9750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11840 Southmore Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282774821",
            "country_code": "US",
            "telephone_number": "704-316-4440",
            "fax_number": "704-316-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14330 Oakhill Park Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280783407",
            "country_code": "US",
            "telephone_number": "704-316-4830",
            "fax_number": "704-316-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAGER",
        "first_name": "EILEEN",
        "middle_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011110",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "163276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efrager40761@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "11840 Southmore Dr Ste 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282774821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.