Individual provider Active NPI

Ellen K Frazier, CRNP

  • Family Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1841265782
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP008525 Issued in PA
Practice address
625 Clark Ave
Suite 13
King of Prussia, PA 19406-1438
Phone
(610) 265-8566
Fax
(610) 878-2620
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP008525 PA Primary

Addresses

Primary practice location

625 Clark Ave
Suite 13
King of Prussia, PA 19406-1438

Mailing address

625 Clark Ave
Suite 13
King of Prussia, PA 19406-1438
Phone (610) 265-8566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050802000409 PA Practitioner - Nurse Practitioner 7719915537 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acts Signature Community Services, Inc. CurrentSince May 21, 2018 Accepting new patients
Acts Signature Community Services, Inc. CurrentSince May 21, 2018 Accepting new patients

Locations

9000 Twin Silo Dr
Blue Bell, PA 19422
Phone (215) 699-8721

420 Delaware Dr
Ft Washington, PA 19034
Phone (215) 661-8330

Interoperability endpoints

  • Direct secure messaging: ellen.frazier.1@14940.direct.athenahealth.com

Organizations & group practices 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1841265782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLARK AVE",
            "address_2": "SUITE 13",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061438",
            "telephone_number": "610-265-8566",
            "fax_number": "610-878-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CLARK AVE",
            "address_2": "SUITE 13",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061438",
            "telephone_number": "610-265-8566",
            "fax_number": "610-878-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ELLEN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.