Individual provider Active NPI

Jenny L Frazier, PA-C

  • Physician Assistant
  • Abilene, TX
National Provider Identifier
1295077006
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02836 Issued in TX
Practice address
2401 N Treadaway Blvd
Abilene, TX 79601-1953
Phone
(325) 676-7700
Fax
(325) 676-7991
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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 PA02836 TX Primary

Addresses

Primary practice location

2401 N Treadaway Blvd
Abilene, TX 79601-1953

Mailing address

PO Box 2587
Abilene, TX 79604-2587
Phone (325) 676-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200414002254 TX Practitioner - Physician Assistant 1355771429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman J Dozier MD PLLCGroup PAC ID 4284859810, 7 clinicians

Practice addresses (Care Compare)

2401 N Treadaway Blvd
Abilene, TX 79601-1953
Phone (325) 676-7700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA02836TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene White Rock Surgery Center, LLC Past Accepting new patients

Organizations & group practices 2

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1295077006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796042587",
            "telephone_number": "325-676-7700",
            "fax_number": "325-676-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N TREADAWAY BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796011953",
            "telephone_number": "325-676-7700",
            "fax_number": "325-676-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "JENNY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.