Individual provider Active NPI

Niakesha Frazier, PMHNP-BC, FNP-C

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1346884731
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012486 Issued in NC
Practice address
112 N Benbow Road
Greensboro, NC 27411
Phone
(336) 624-5406
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 193403 NC
Family Nurse Practitioner 363LF0000X 5012486 NC Primary
Nurse Practitioner 363L00000X 5012486 NC

Addresses

Primary practice location

112 N Benbow Road
Greensboro, NC 27411

Mailing address

112 N Benbow Road
Greensboro, NC 27411-1564

Other practice location 1

112 N Benbow Road
Greensboro, NC 27411
Phone (336) 334-7880

Other practice location 2

300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (336) 890-3822

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
I20260213001228 NC Practitioner - Nurse Practitioner 5092295626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (336) 663-5038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193403NCMDRegistered Nurse
5012486NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Feb 23, 2026 Accepting new patients
Dual Premiere Healthcare, PLLC. Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Feb 23, 2026 Accepting new patients
Second Chance Behavioral Health Past Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

1300 Ogden St
Greensboro, NC 27406
Phone (336) 890-3822

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

300 E Wendover Ave
Fl 3
Greensboro, NC 27401
Phone (336) 663-5059

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

Interoperability endpoints

  • Direct secure messaging: nfrazier2753409@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1346884731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N BENBOW ROAD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274111564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BENBOW ROAD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27411",
            "telephone_number": "336-624-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N Benbow Road",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27411",
            "country_code": "US",
            "telephone_number": "336-334-7880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011229",
            "country_code": "US",
            "telephone_number": "336-890-3822",
            "fax_number": "336-663-5367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "NIAKESHA",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "193403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012486",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.