MICHELLE K. PEMBLE-FRAZEY PHD
NPI 1013116342
Psychologist - Cognitive & Behavioral in Maple Grove, MN

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment
9555 UPLAND LN N, MAPLE GROVE, MN 55369(952) 993-1440 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle K. Pemble-frazey Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE K. PEMBLE-FRAZEY PHD (NPI 1013116342) is an individual cognitive & behavioral provider in Maple Grove, Minnesota, licensed in Minnesota (LP4824) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mankato, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1013116342
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameMICHELLE K. PEMBLE-FRAZEYCredential: PHD
Location Address9555 UPLAND LN NMaple Grove, MN 55369
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 17, 2007
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
NPI 1013116342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License Licensed in MN · LP4824
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologistTaxonomy 103T00000X · License LP4824 (MN)
9555 UPLAND LN N, Maple Grove, MN 55369

Other Names 1

Former Name (1)Michelle Pemble

Secondary Practice Location 1

Location 1101 Martin Luther King DrMankato, MN 56001-6460 · Phone (507) 385-6500

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle K. Pemble-frazey Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072605765
PECOS Enrollment IDI20070827000276
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychologist
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychiatry & Neurology (Psychiatry)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Internal Medicine
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Pediatrics
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Physician Assistant (Surgical)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychologist (Clinical)
9555 UPLAND LN N
MAPLE GROVE, MN 55369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Pemble-frazey's NPI number?

The NPI number for Michelle Pemble-frazey is 1013116342. It was assigned to this individual provider in the NPPES registry on July 17, 2007. The provider is also known as Michelle Pemble.

Where is Michelle Pemble-frazey located?

Michelle Pemble-frazey practices at 9555 Upland Ln N, Maple Grove, MN 55369. The listed phone number is (952) 993-1440.

What is Michelle Pemble-frazey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Michelle Pemble-frazey enrolled in Medicare?

Yes. Michelle Pemble-frazey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle Pemble-frazey accept?

Health plans from HealthPartners list Michelle Pemble-frazey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Pemble-frazey was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.