Monica Frazier, FNP
Individual provider Active NPI Family Nurse Practitioner · Deville, LA
NPI 1548840960 · NPPES record last updated Apr 9, 2021
Key facts
- NPI
- 1548840960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 215627 (LA)
- Practice address
- 626 Highway 1207
Deville, LA 71328-9574 - Phone
- (318) 880-6473
- NPI assigned
- Apr 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230809002093 | LA | Practitioner - Nurse Practitioner | 7517329428 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215627 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care LLC | Current |
Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Nurse Practitioner | Current |
Accepting new patients |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Natchitoches Parish Hospital Service District | Past | Accepting new patients |
Locations
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
103 W University Pkwy
Leesville, LA 71446
Phone (337) 239-2600
57 Pinecrest Dr
Pineville, LA 71360
Phone (318) 232-6071
132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 215627 | LA | Yes |
Addresses
Primary practice location
626 Highway 1207
Deville, LA 71328-9574
Mailing address
626 Highway 1207
Deville, LA 71328-9574
Phone (318) 880-6473
Other providers in Deville, LA
- Cenla Mental Health LLC
- Cenla Speech Language Therapy LLC
- Christus Health Central Louisiana
- Melissa R, Daniel
- Chelsea Dewees
- Christina Abbott Holton
- George Keith King
- Casey Knotts
- Sue May Liu
- Amanda Louise Lluvera
All providers in Deville, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.