Individual provider Active NPI

Angel Marie Frazier, FNP

  • General Practice Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1306983226
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN098376 Issued in AZ
Practice address
2025 N 3Rd St
Suite 170
Phoenix, AZ 85004-1471
Phone
(602) 462-1132
Fax
(602) 462-1186
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN098376 AZ Primary

Addresses

Primary practice location

2025 N 3Rd St
Suite 170
Phoenix, AZ 85004-1471

Mailing address

1508 E Hermosa Dr
Tempe, AZ 85282-5722
Phone (480) 839-0686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110307000913 AZ Practitioner - Nurse Practitioner 2062694417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Medical and Post-Acute Services LLCGroup PAC ID 5991164402, 6 clinicians

Practice addresses (Care Compare)

10810 N Tatum Blvd
102 107
Phoenix, AZ 85028-6055
Phone (602) 568-4362

Hospital & facility affiliations

  • Camelback Post Acute Care and Rehabilitation Nursing home, Phoenix, AZ, CCN 035088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Medical and Post-Acute Services, LLC CurrentSince Feb 14, 2025 Accepting new patients

Locations

10810 N Tatum Blvd
Ste 102107
Phoenix, AZ 85028
Phone (602) 568-4362

10810 N Tatum Blvd
#102107
Phoenix, AZ 85028
Phone (602) 568-4362

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.

Hospital & facility affiliations 1

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306983226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 E HERMOSA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825722",
            "telephone_number": "480-839-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST",
            "address_2": "SUITE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041471",
            "telephone_number": "602-462-1132",
            "fax_number": "602-462-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ANGEL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN098376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.