Individual provider Active NPI

Donna E. Frazier, NP

  • Family Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1487147369
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023041356 Issued in MO
Practice address
105 N Keene St Ste 201
Columbia, MO 65201-8131
Phone
(573) 499-4990
Fax
(573) 442-2120
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 0024176194 VA
Family Nurse Practitioner 363LF0000X 2023041356 MO Primary

Addresses

Primary practice location

105 N Keene St Ste 201
Columbia, MO 65201-8131

Mailing address

105 N Keene St Ste 201
Columbia, MO 65201-8131
Phone (573) 499-4990

Other names 1

  • Donna Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donna.frazier@mca.ikm.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MO2 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
I20181220000086 VA Practitioner - Nurse Practitioner 3577813682 Reassigns benefits to 1 organization
I20231116001299 MO Practitioner - Nurse Practitioner 3577813682 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Urgent Care LLC Single Specialty CurrentSince Jul 29, 2009 Accepting new patients
James Cole Physiatry LLC Single Specialty CurrentSince Mar 10, 2025 Accepting new patients
Privia Medical Group, LLC Single Specialty CurrentSince Dec 18, 2018 Accepting new patients
NP Health of Mo LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 18, 2018 Accepting new patients
Nextcare Missouri LLC Single Specialty CurrentSince Oct 17, 2023 Accepting new patients
Physical Medicine Associates LTD Single Specialty Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

4401 Parker Rd
Black Jack, MO 63033
Phone (314) 312-0720

10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800

202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: donna.frazier@mca.ikm.direct-ci.com

Organizations & group practices 7

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1487147369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N KEENE ST STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018131",
            "telephone_number": "573-499-4990",
            "fax_number": "573-442-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N KEENE ST STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018131",
            "telephone_number": "573-499-4990",
            "fax_number": "573-442-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "DONNA",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176194",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023041356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donna.frazier@mca.ikm.direct-ci.com",
            "affiliation": "N",
            "address_1": "105 N Keene St Ste 201",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652018131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.