Individual provider Active NPI

Debby R Frazier, NP

  • Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1376523381
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN08083200 Issued in NJ
Practice address
1076 E Chestnut Ave
Vineland, NJ 08360-5843
Phone
(856) 692-7979
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN08083200 NJ Primary

Addresses

Primary practice location

1076 E Chestnut Ave
Vineland, NJ 08360-5843

Mailing address

1076 E Chestnut Ave
Vineland, NJ 08360-5843
Phone (856) 692-7979

Other identifiers 1

IdentifierTypeStateIssuer
0079189MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040618000085 NJ Practitioner - Nurse Practitioner 2466436134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health InitiativesGroup PAC ID 2466351481, 33 clinicians

Practice addresses (Care Compare)

125 E Ave D
Cchi Cardiology Consultants NJ
Woodstown, NJ 08098-1351
Phone (856) 769-3900

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Initiatives Current Accepting new patients
Salem Internal Medicine P.C. CurrentSince May 15, 2015 Accepting new patients
Christiana Care Health Initiatives Nurse Practitioner CurrentSince Oct 5, 2022 Accepting new patients
Christiana Care Health Initiatives CurrentSince Oct 5, 2022 Accepting new patients
Christiana Care Health Initiatives Nurse Practitioner Past Accepting new patients
Azz Medical Associates PC PastSince Dec 1, 2019 Accepting new patients

Locations

316 Merion Ave
Penns Grove, NJ 08069
Phone (609) 299-0345

125 East Ave
Ste C
Woodstown, NJ 08098
Phone (856) 769-2800

125 East Ave
Ste D
Woodstown, NJ 08098
Phone (856) 769-3900

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.

Hospital & facility affiliations 4

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1376523381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605843",
            "telephone_number": "856-692-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605843",
            "telephone_number": "856-692-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "DEBBY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN08083200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079189",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.