EDITH A FRAIRE MSN, RN, FNP-BC
NPI 1083228829
Nurse Practitioner - Family in Goshen, IN

Active since August 31, 2020PECOS EnrolledAccepts Medicare Assignment
2824 ELKHART RD, GOSHEN, IN 46526(574) 535-1700 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2021, Nov 2, 2020, Aug 31, 2020 (3 updates tracked since 2020).

About Edith A Fraire Msn, Rn, Fnp-bc NPPES

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

EDITH A FRAIRE MSN, RN, FNP-BC (NPI 1083228829) is an individual family provider in Goshen, Indiana, licensed in Indiana (71010425A) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083228829
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDITH A FRAIRECredential: MSN, RN, FNP-BC
Location Address2824 ELKHART RDGoshen, IN 46526-1014
Mailing Address3421 S Main StElkhart, IN 46517-3125 · (574) 295-7178 · Fax (574) 295-8822
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 31, 2020
Last NPPES UpdateMarch 18, 20243 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
NPI 1083228829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71010425A
2824 ELKHART RD, Goshen, IN 46526

Other Identifiers 1

Medicaid300042923IN

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

Edith A Fraire Msn, Rn, Fnp-bc 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 ID5092134437
PECOS Enrollment IDI20201002002564
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services23 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
28 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services17 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
24 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$83.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Pharmacist
2824 ELKHART RD
GOSHEN, IN 46526
Physician Assistant
2824 ELKHART RD
GOSHEN, IN 46526
Family Medicine
2824 ELKHART RD
GOSHEN, IN 46526
Nurse Practitioner (Family)
2824 ELKHART RD
GOSHEN, IN 46526
Nurse Practitioner (Family)
2824 ELKHART RD
GOSHEN, IN 46526
Nurse Practitioner (Family)
2824 ELKHART RD
GOSHEN, IN 46526
Nurse Practitioner (Family)
2824 ELKHART RD
GOSHEN, IN 46526
Pharmacy (Community/Retail Pharmacy)
2824 ELKHART RD
GOSHEN, IN 46526

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 Edith Fraire's NPI number?

The NPI number for Edith Fraire is 1083228829. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Edith Fraire located?

Edith Fraire practices at 2824 Elkhart Rd, Goshen, IN 46526. The listed phone number is (574) 535-1700.

What is Edith Fraire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edith Fraire enrolled in Medicare?

Yes. Edith Fraire 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 Edith Fraire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Edith Fraire 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.

Is Edith Fraire affiliated with any hospitals?

According to CMS data, Edith Fraire is affiliated with Elkhart General Hospital and Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Edith Fraire was last updated on March 18, 2024. 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.