Individual provider Active NPI

Hannah Nicole Frazee, PA-C

  • General Practice Physician
  • Morgantown, WV
National Provider Identifier
1952025207
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2740 Issued in WV
Practice address
1300 Fort Pierpont Dr Suite # 101
Morgantown, WV 26508-1381
Phone
(304) 241-7150
Fax
(304) 599-8719
NPI assigned
Sep 30, 2022
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2740 WV
General Practice Physician 208D00000X 2740 WV Primary

Addresses

Primary practice location

1300 Fort Pierpont Dr Suite # 101
Morgantown, WV 26508-1381

Mailing address

1300 Fort Pierpont Dr Suite # 101
Morgantown, WV 26508-1381
Phone (304) 241-7150

Other practice location 1

6000 Memorial Church Dr
Morgantown, WV 26501-1503
Phone (304) 292-7316

Other names 1

  • Hannah Nicole Nesselrodt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20231025000268 WV Practitioner - Physician Assistant 0042666273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

6000 Memorial Church Dr
Morgantown, WV 26501-1503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2740WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company CurrentSince Nov 30, 2023 Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients

Locations

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1300 Fort Pierpont Dr
Ste 101
Morgantown, WV 26508
Phone (304) 241-7150

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

1000 Mon Health Medical Park Dr
Ste 1201
Morgantown, WV 26505
Phone (304) 599-9400

6000 Memorial Church Dr
Westover, WV 26501
Phone (304) 292-7316

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1952025207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FORT PIERPONT DR SUITE # 101",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081381",
            "telephone_number": "304-241-7150",
            "fax_number": "304-599-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FORT PIERPONT DR SUITE # 101",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081381",
            "telephone_number": "304-241-7150",
            "fax_number": "304-599-8719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Memorial Church Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265011503",
            "country_code": "US",
            "telephone_number": "304-292-7316",
            "fax_number": "304-599-8719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZEE",
        "first_name": "HANNAH",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2024-09-27",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "2740",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "2740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "NESSELRODT",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.