DESTINY YVONNE FRAZIER
NPI 1164175303
Nurse Practitioner - Family in Jacksonville, AR

Active since January 28, 2022PECOS EnrolledAccepts Medicare Assignment
1012 PURITAN DR, JACKSONVILLE, AR 72076(501) 313-8119 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Jan 28, 2022 (2 updates tracked since 2022).

About Destiny Yvonne Frazier NPPES

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

DESTINY YVONNE FRAZIER (NPI 1164175303) is an individual family provider in Jacksonville, Arkansas, licensed in Arkansas (218640) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164175303
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDESTINY YVONNE FRAZIER
Location Address1012 PURITAN DRJacksonville, AR 72076-6081
Mailing Address1012 Puritan DrJacksonville, AR 72076-6081
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 28, 2022
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
NPI 1164175303 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 AR · 218640
1012 PURITAN DR, Jacksonville, AR 72076

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

Destiny Yvonne Frazier 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 ID2062890049
PECOS Enrollment IDI20220602002821
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 72076 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Destiny Frazier's NPI number?

The NPI number for Destiny Frazier is 1164175303. It was assigned to this individual provider in the NPPES registry on January 28, 2022.

Where is Destiny Frazier located?

Destiny Frazier practices at 1012 Puritan Dr, Jacksonville, AR 72076. The listed phone number is (501) 313-8119.

What is Destiny Frazier's specialty?

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

Is Destiny Frazier enrolled in Medicare?

Yes. Destiny Frazier 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 Destiny Frazier accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Destiny Frazier 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 Destiny Frazier was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.