Active NPI
Kaleb Davidson Frazier, DNP, CRNA, ARNP
- Certified Registered Nurse Anesthetist
- West Burlington, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D163953
- Practice address
- 1221 S Gear Ave
West Burlington, IA 52655-1679 - Phone
- (319) 768-1000
- NPI assigned
- Apr 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 134855 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | D163953 | IA | Primary |
Addresses
Primary practice location
1221 S Gear Ave
West Burlington, IA 52655-1679
Mailing address
3635 NE Kara LN
Ankeny, IA 50021-8140
Phone (563) 249-4679
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
Other practice location 2
802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 573-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000
407 S White St
Henry County Health Center
Mount Pleasant, IA 52641-2263
Phone (319) 385-3141
5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 372-6530
Hospital & facility affiliations
- Henry County Health Center
- Southeast Iowa Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D163953 | IA | MD | Certified Registered Nurse Anesthetist |
| 134855 | IA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry County Health Center Inc | Current | Accepting new patients | |
| Trinity Regional Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients | |
| Green Anesthesia Iowa PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry County Health Center, Inc. | Current | Accepting new patients |
Locations
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
Interoperability endpoints
- kfrazier112461@direct.unitypoint.org
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.
-
- Certified Registered Nurse Anesthetist
- Fort Madison, IA
- NPI 1649143157
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Mount Pleasant, IA
- NPI 1871177477
-
- Critical Access Hospital
- Mount Pleasant, IA
- NPI 1811571417
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mount Pleasant, IA
- NPI 1811571417
-
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1427612860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 NE KARA LN",
"city": "ANKENY",
"state": "IA",
"postal_code": "500218140",
"telephone_number": "563-249-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S GEAR AVE",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551679",
"telephone_number": "319-768-1000"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-1616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "802 Kenyon Rd",
"address_purpose": "LOCATION",
"city": "Fort Dodge",
"state": "IA",
"postal_code": "505015740",
"country_code": "US",
"telephone_number": "515-573-3101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAZIER",
"first_name": "KALEB",
"middle_name": "DAVIDSON",
"name_prefix": "Dr.",
"credential": "DNP, CRNA, ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2023-01-18",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IA",
"license": "134855",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D163953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.