Individual provider Active NPI

Rachel Amanda Fry, PA-C

  • Physician Assistant
  • Yuma, AZ
National Provider Identifier
1477219137
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11021 Issued in AZ
Practice address
1394 W 16TH St
Yuma, AZ 85364-4430
Phone
(928) 539-0055
Fax
(928) 539-0053
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11021 AZ Primary

Addresses

Primary practice location

1394 W 16TH St
Yuma, AZ 85364-4430

Mailing address

PO Box 14417
Savannah, GA 31416-1417
Phone (912) 721-5167

Other practice location 1

23 N Main St Ste 202
Hilton Head Island, SC 29926-6607
Phone (843) 682-3583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240528000695 SC Practitioner - Physician Assistant 4688064322 Reassigns benefits to 1 organization
I20250911000927 AZ Practitioner - Physician Assistant 4688064322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

23 N Main St
Suite 202
Hilton Head, SC 29926-6607
Phone (843) 682-3583

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
81.9
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5059SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Lung & Critical Care Specialists CurrentSince Dec 1, 2023 Accepting new patients
Southeast Lung & Criticial Care Specialists, PC CurrentSince Dec 1, 2023 Accepting new patients
Nextcare Arizona LLC Current Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Sep 30, 2025 Accepting new patients
Southeast Lung & Critical Care Specialists, P.C. Past Accepting new patients

Locations

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

340 Hodgson Ct
Savannah, GA 31406
Phone (843) 682-3583

23 Main St
Ste 202
Hilton Head Island, SC 29926
Phone (843) 682-3583

Interoperability endpoints

  • Direct secure messaging: rachel.frypac.p1@direct.nextcare.nextgenshare.com
  • Direct secure messaging: rachel.fair.1@23844.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1477219137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14417",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161417",
            "telephone_number": "912-721-5167",
            "fax_number": "912-721-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 W 16TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644430",
            "telephone_number": "928-539-0055",
            "fax_number": "928-539-0053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 N Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299266607",
            "country_code": "US",
            "telephone_number": "843-682-3583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRY",
        "first_name": "RACHEL",
        "middle_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.