Individual provider Active NPI

Danie Frazee, PAC

  • Physician Assistant
  • Council Bluffs, IA
National Provider Identifier
1265599153
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001194 Issued in IA
Practice address
1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone
(712) 328-8800
Fax
(712) 328-8461
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001194 IA Primary

Addresses

Primary practice location

1288 Valley View Dr
Council Bluffs, IA 51503-5245

Mailing address

1288 Valley View Dr
Council Bluffs, IA 51503-5245
Phone (712) 328-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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
I20050426001156 IA Practitioner - Physician Assistant 5799724068 Reassigns benefits to 2 organizations
I20210823001209 NE Practitioner - Physician Assistant 5799724068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

16909 Lakeside Hills CT
Omaha, NE 68130-4661

2734 N 61St St
Omaha, NE 68104-4020
Phone (402) 553-0222

5045 S 153Rd St
Omaha, NE 68137-5001
Phone (402) 717-9100

6801 Newport Ave
Omaha, NE 68152-2152
Phone (402) 572-3900

800 Mercy Dr
Council Bluffs, IA 51503-3128

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
574NEMDMental Health Counselor
001194IAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa CurrentSince Oct 1, 2020 Accepting new patients
Alegent Creighton Clinic Physician Assistant CurrentSince Sep 21, 1998 Accepting new patients
Alegent Creighton Clinic CurrentSince Sep 21, 1998 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley Iowa CurrentSince Oct 1, 2020 Accepting new patients

Locations

800 Mercy Dr
#220
Council Bluffs, IA 51503
Phone (712) 388-2660

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

809 Elm St
Missouri Vly, IA 51555
Phone (712) 642-2794

2771 Solution Ctr
Chicago, IL 60677

1130 N 204th Ave
Elkhorn, NE 68022
Phone (402) 289-3377

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Interoperability endpoints

  • Direct secure messaging: dfrazee8510@achce.catholichealth.net
  • Direct secure messaging: danie.frazee.1@19856.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1265599153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 VALLEY VIEW DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035245",
            "telephone_number": "712-328-8800",
            "fax_number": "712-328-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 VALLEY VIEW DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035245",
            "telephone_number": "712-328-8800",
            "fax_number": "712-328-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZEE",
        "first_name": "DANIE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.