Individual provider Active NPI

Stacy Frazier, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1437975190
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016221A Issued in IN
Practice address
5629 Lee Rd
Indianapolis, IN 46216-2003
Phone
(317) 415-6450
Fax
(317) 415-6451
NPI assigned
Nov 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71016221A IN Primary
Family Nurse Practitioner 363LF0000X 11035661 FL

Addresses

Primary practice location

5629 Lee Rd
Indianapolis, IN 46216-2003

Mailing address

5629 Lee Rd
Indianapolis, IN 46216-2003
Phone (317) 605-1174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250206001540 IN Practitioner - Nurse Practitioner 1052841004 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035661FLMDFamily Nurse Practitioner
71016221AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Family CurrentSince Feb 2, 2025 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Feb 2, 2025 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

13914 Southeastern Pkwy
Ste 108
Fishers, IN 46037
Phone (317) 415-9110

5629 Lee Rd
Indianapolis, IN 46216
Phone (317) 415-6450

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

Interoperability endpoints

  • Direct secure messaging: stacy.frazier.1@7598.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1437975190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 LEE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162003",
            "telephone_number": "317-605-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 LEE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162003",
            "telephone_number": "317-415-6450",
            "fax_number": "317-415-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "STACY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016221A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.