Individual provider Active NPI

Nancy Helen Frizzell, ARNP

  • Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1497739742
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2036602 Issued in FL
Practice address
1933 W Lumsden Rd
Brandon, FL 33511-8819
Phone
(813) 653-3111
Fax
(813) 653-1384
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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 ARNP2036602 FL Primary

Addresses

Primary practice location

1933 W Lumsden Rd
Brandon, FL 33511-8819

Mailing address

1933 W Lumsden Rd
Brandon, FL 33511-8819
Phone (813) 653-3111

Other identifiers 1

IdentifierTypeStateIssuer
033538000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110620000396 FL Practitioner - Nurse Practitioner 0840478947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1345 W Bay Dr
202 Optum Largo
Largo, FL 33770-2276
Phone (727) 559-0895

1989 W Lumsden Rd
Optum Brandon
Brandon, FL 33511-8821
Phone (813) 653-3111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2036602FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince May 27, 1999 Accepting new patients
Optumcare Florida LLC CurrentSince May 27, 1999 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients
Optumcare Florida, LLC PastSince Mar 16, 2020 Accepting new patients

Locations

1933 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

10051 5th St N
St Petersburg, FL 33702
Phone (727) 828-2314

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

Interoperability endpoints

  • Direct secure messaging: nancy.frizzell@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1497739742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118819",
            "telephone_number": "813-653-3111",
            "fax_number": "813-653-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118819",
            "telephone_number": "813-653-3111",
            "fax_number": "813-653-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIZZELL",
        "first_name": "NANCY",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2036602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033538000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.