Jacqueline A Fraiser, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R851578 Issued in MS

Practice address

2601 Getwell Rd Ste 1
Corinth, MS 38834-6762

Phone

(662) 287-7138

Fax

(662) 287-7157

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

North Mississippi Medical Clinics IncGroup PAC ID 6103736665, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquelinefraiser@nmhs.medalliesdirect.net

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.

• North Mississippi Medical Center Inc

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment Care Compare group NPD
• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486

  Family

  Medicare reassignment Care Compare group NPD
• Physicians Urgent Care of Corinth, LLC

  • General Practice Physician
  • Corinth, MS
  • NPI 1316059405
  Medicare reassignment
• Faith Family Clinic of Booneville

  • Primary Care Clinic/Center
  • Booneville, MS
  • NPI 1063911485
  NPD
• North Mississippi Medcial Center, Inc.

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• North Mississippi Medical Center Inc.

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1649727447
  NPD
• North Mississippi Medical Clinics Inc

  • Obstetrics & Gynecology Physician
  • West Point, MS
  • NPI 1588769970
  NPD
• Amory Surgery Clinic, PLLC

  • Surgery Physician
  • Amory, MS
  • NPI 1821441080
  NPD (past)
• The Magnolia Women'S Clinic, P.a.

  • Obstetrics & Gynecology Physician
  • Corinth, MS
  • NPI 1437175270
  NPD (past)

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

• North Mississippi Medical Center, Inc.

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1629199633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD",
            "address_2": "STE 1",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-287-7138",
            "fax_number": "662-287-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD STE 1",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-287-7138",
            "fax_number": "662-287-7157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "MS",
            "postal_code": "388291314",
            "country_code": "US",
            "telephone_number": "662-340-4375",
            "fax_number": "662-340-4378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAISER",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R851578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02488503",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Kimberly Floyd, NURSE PRACTITIONER
• Kelsie Follin, FNP-C
• Formulaone Pharmaceuticals, LLC
• John Eric Foropoulos, M.D.
• Blakley Atkins Fowler, M.D.
• Ishmael Tomas Francisco
• Randall Parks Frazier, M.D.
• Freds Stores of Tennessee Inc
• Freds Stores of Tennessee Inc
• Megan Gaillard

• Family Nurse Practitioner in Corinth, MS
• Providers in Corinth, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.