WILLIAM BROCK FRAZIER PA-C
NPI 1124522966
Physician Assistant in West Plains, MO

Q: What is William Frazier's NPI number?

The NPI number for William Frazier is 1124522966. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Q: What is William Frazier's specialty?

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

Q: Is William Frazier enrolled in Medicare?

No. William Frazier has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for William Frazier was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 19, 2018Opted out of Medicare · through Apr 1, 2027

1100 N KENTUCKY AVE, WEST PLAINS, MO 65775(417) 256-9111 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About William Brock Frazier Pa-c NPPES

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

WILLIAM BROCK FRAZIER PA-C (NPI 1124522966) is an individual physician assistant in West Plains, Missouri, licensed in Missouri (2018005438) and active in the NPI registry since March 2018. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1124522966

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameWILLIAM BROCK FRAZIERCredential: PA-C

Location Address1100 N KENTUCKY AVEWest Plains, MO 65775

Mailing Address1100 N Kentucky AveWest Plains, MO 65775

Phone(417) 256-9111

Sole ProprietorNo

Enumeration DateMarch 19, 2018

✔ NPI 1124522966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 2018005438

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2018005438 (MO)

1100 N KENTUCKY AVE, West Plains, MO 65775

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

William Brock Frazier Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

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