Individual provider Active NPI

Gabriela Frazier, FNP

  • Family Nurse Practitioner
  • Calera, OK
National Provider Identifier
1366924466
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
107084 Issued in OK
Practice address
156 Ross Rd
Calera, OK 74730-4611
Phone
(580) 579-3153
NPI assigned
Sep 5, 2018
Last updated
Sep 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 107084 OK Primary

Addresses

Primary practice location

156 Ross Rd
Calera, OK 74730-4611

Mailing address

PO Box 765
Calera, OK 74730-0765
Phone (580) 579-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20190625001042 OK Practitioner - Nurse Practitioner 6002140050 Reassigns benefits to 2 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
Irvin Medical Clinic PLLCGroup PAC ID 9133291859, 2 clinicians

Practice addresses (Care Compare)

1001 E Jackson St
Hugo, OK 74743-4225
Phone (580) 317-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Irvin Medical Clinic PLLC CurrentSince May 28, 2019 Accepting new patients
Choctaw County City of Hugo Hospital Authority CurrentSince Feb 6, 2020 Accepting new patients
Irvin Medical Clinic PastSince May 28, 2019 Accepting new patients

Locations

1001 E Jackson St
Hugo, OK 74743
Phone (580) 317-9000

1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500

Organizations & group practices 3

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.

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1366924466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747300765",
            "telephone_number": "580-579-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 ROSS RD",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747304611",
            "telephone_number": "580-579-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "GABRIELA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "107084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calera, OK

Sources for this page

Verify at the official NPI Registry.