Individual provider Active NPI

Jillina L Frazell, APRN

  • Nurse Practitioner
  • Chanute, KS
National Provider Identifier
1578825006
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-75722-112 Issued in KS
Practice address
2613 South Santa Fe
Chanute, KS 66720
Phone
(620) 820-5800
Fax
(620) 820-5821
NPI assigned
Jun 11, 2012
Last updated
Aug 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TMP 145378 KS
Nurse Practitioner 363L00000X 53-75722-112 KS Primary
Registered Nurse 163W00000X 13-101821-112 KS

Addresses

Primary practice location

2613 South Santa Fe
Chanute, KS 66720

Mailing address

PO Box 736
Parsons, KS 67357-0736
Phone (620) 820-5800

Other names 1

  • Jillina L Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20121016000343 KS Practitioner - Nurse Practitioner 4284884958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Labette County Medical CenterGroup PAC ID 5496664369, 74 clinicians

Practice addresses (Care Compare)

1902 S US Hwy 59
Physician Group
Parsons, KS 67357-4948
Phone (620) 820-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.28 of 100Reported as group
Quality
21.69
Improvement activities
40
Cost
71.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13-101821-112KSMDRegistered Nurse
53-75722-112KSMDNurse Practitioner
TMP 145378KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center CurrentSince May 21, 2018 Accepting new patients
Labette County Medical Center Current Accepting new patients
Labette County Medical Center CurrentSince May 21, 2018 Accepting new patients

Locations

2613 S Santa Fe Ave
Chanute, KS 66720
Phone (620) 820-5889

324 S Main St
Erie, KS 66733
Phone (620) 244-3291

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

Interoperability endpoints

  • Direct secure messaging: jfrazell@lh.gwaydirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1578825006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673570736",
            "telephone_number": "620-820-5800",
            "fax_number": "620-820-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 SOUTH SANTA FE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "66720",
            "telephone_number": "620-820-5800",
            "fax_number": "620-820-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZELL",
        "first_name": "JILLINA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "TMP 145378",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-75722-112",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-101821-112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLINA",
            "last_name": "WILLIAMS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.