NATASHA LEEANNA FRASER
NPI 1104708239
Physician Assistant in Elmhurst, NY

Active since July 21, 2025PECOS EnrolledAccepts Medicare Assignment
79-01 BROADWAY, MEDICINE/C6-10, ELMHURST, NY 11373(718) 334-4000 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Natasha Leeanna Fraser NPPES

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

NATASHA LEEANNA FRASER (NPI 1104708239) is an individual physician assistant in Elmhurst, New York, licensed in New York (033835-01) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104708239
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNATASHA LEEANNA FRASER
Location Address79-01 BROADWAY, MEDICINE/C6-10Elmhurst, NY 11373-1329
Mailing Address79-01 Broadway, Medicine/c6-10Elmhurst, NY 11373-1329 · (718) 334-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 21, 2025
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1104708239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 033835-01
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
79-01 BROADWAY, Elmhurst, NY 11373

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

Natasha Leeanna Fraser 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 ID1153824016
PECOS Enrollment IDI20250915003054
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Audiologist
79-01 BROADWAY
ELMHURST, NY 11373
Physician Assistant
79-01 BROADWAY, ELMHURST HOSPITAL CENTER
ELMHURST, NY 11373
Pediatrics (Neonatal-Perinatal Medicine)
79-01 BROADWAY, ROOM A1-9
ELMHURST, NY 11373
Nurse Practitioner (Psychiatric/Mental Health)
79-01 BROADWAY, MANAGED CARE, D1-01
ELMHURST, NY 11373
Student in an Organized Health Care Education/Training Program
79-01 BROADWAY
QUEENS, NY 11373
Nurse Practitioner (Primary Care)
79-01 BROADWAY, D4 -54 CARDIOLOGY DEPT
ELMHURST, NY 11373
Social Worker
79-01 BROADWAY
ELMHURST, NY 11373
General Acute Care Hospital
79-01 BROADWAY
ELMHURST, NY 11373

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 Natasha Fraser's NPI number?

The NPI number for Natasha Fraser is 1104708239. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Natasha Fraser located?

Natasha Fraser practices at 79-01 Broadway Medicine/C6-10, Elmhurst, NY 11373. The listed phone number is (718) 334-4000.

What is Natasha Fraser's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Natasha Fraser enrolled in Medicare?

Yes. Natasha Fraser 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.

When was this NPI record last updated?

The NPPES record for Natasha Fraser was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.