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

NPI Status: Active since March 19, 2018

Contact Information

1100 N KENTUCKY AVE
WEST PLAINS, MO
ZIP 65775
Phone: (417) 256-9111

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  • Individual
  • Male
  • Physician Assistant
  • Opted-Out Medicare

About WILLIAM FRAZIER

This page provides the complete NPI Profile along with additional information for William Frazier, a primary care provider established in West Plains, Missouri with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1124522966 assigned on March 2018. The practitioner's primary taxonomy code is 363A00000X with license number 2018005438 (MO). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1124522966
Provider Name
WILLIAM BROCK FRAZIER PA-C
Gender
Male
Entity Type
Individual
Location Address
1100 N KENTUCKY AVE WEST PLAINS, MO 65775
Location Phone
(417) 256-9111
Mailing Address
1100 N KENTUCKY AVE WEST PLAINS, MO 65775
Is Sole Proprietor?
No
Enumeration Date
03-19-2018
Last Update Date
03-19-2018
Code Navigator

A primary care provider (PCP) like William Frazier sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. William Frazier opted out of Medicare effective on 04-01-2025 until 04-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2018005438
License State
MO
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

2018005438 (MO)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-01-2025

  • Opt-Out End Date: 04-01-2027

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124522966, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 0 + 2 + 4 + 9 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1124522966.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Physician Assistant
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Nurse Practitioner
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Nurse Anesthetist, Certified Registered
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Speech-Language Pathologist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Occupational Therapist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Occupational Therapy Assistant
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Speech-Language Pathologist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Speech-Language Pathologist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Occupational Therapist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Physical Therapist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Occupational Therapy Assistant
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Physical Therapist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Speech-Language Pathologist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Speech-Language Pathologist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Physical Therapist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Speech-Language Pathologist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Speech-Language Pathologist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Physical Therapist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Physical Therapy Assistant
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124522966, enumerated as an "individual" on March 19, 2018.

The provider is located at 1100 N KENTUCKY AVE WEST PLAINS, MO 65775 and the phone number is (417) 256-9111.

Physician Assistant with taxonomy code 363A00000X.