Katie Ann Frazier, FNP-BC – Family Nurse Practitioner

Key facts

NPI: 1871980755
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 209.12734 (IL)
Practice address: 900 S Central Ave
Roxana, IL 62084-1337
Phone: (618) 255-2895
Fax: (618) 255-3097
NPI assigned: Apr 18, 2015
Sex: Female
Sole proprietor: No

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.

Interventional Pain Consultants LLC Interventional Pain Medicine Physician · Alton, IL · NPI 1225522063

Medicare reassignment NPD IL
Interventional Pain Consultants LLC Interventional Pain Medicine Physician · Maryville, IL · NPI 1568078087

NPD

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score: 89.58 of 100 (group)
Quality: 91.56
Promoting interoperability: 96
Improvement activities: 40
Cost: 74.2

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL
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
I20150804004195	IL	Practitioner - Nurse Practitioner	4183938111	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
209.12734	IL	MD	Family Nurse Practitioner
209012734	IL	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Interventional Pain Consultants LLC		Current since Aug 1, 2018	Accepting new patients
Interventional Pain Consultants LLC		Current since Aug 1, 2018	Accepting new patients

Locations

3 Professional Dr
Ste B
Alton, IL 62002
Phone (618) 219-0855

4972 Benchmark Centre Dr
Swansea, IL 62226
Phone (618) 622-0303

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	209012734	IL
Family Nurse Practitioner	363LF0000X	209.12734	IL	Yes

Addresses

Primary practice location

900 S Central Ave
Roxana, IL 62084-1337

Mailing address

900 S Central Ave
Roxana, IL 62084-1337
Phone (618) 255-2895

Other providers in Roxana, IL

Leah M Brueckner, ATC
Elizabeth Louise Cox
Nichole Rae Hanneken Ontis, M.S., CCC-SLP
Inviting Homes and Services, LLC
Sara Anne Kreutztrager
Roxana Cusd No 1
Southern Illinois Healthcare Foundation Inc

All providers in Roxana, IL · Family Nurse Practitioner in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. 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).
Medicare Care Compare provider data (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.