MR. CHARLES D FRASER FNP
NPI 1184101610
Nurse Practitioner - Family in Pascoag, RI

Q: What is Charles Fraser's NPI number?

The NPI number for Charles Fraser is 1184101610. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Q: What is Charles Fraser's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Fraser was last updated on May 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 26, 2018PECOS EnrolledAccepts Medicare Assignment

36 BRIDGE WAY, PASCOAG, RI 02859(401) 567-0800(401) 568-7949 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 16, 2024, Aug 28, 2018, Jul 26, 2018 (3 updates tracked since 2018).

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About Mr. Charles D Fraser Fnp NPPES

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

MR. CHARLES D FRASER FNP (NPI 1184101610) is an individual family provider in Pascoag, Rhode Island, licensed in Rhode Island (APRN01902) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains a secondary practice location in Southbridge.

NPPES Registry Identity

NPI1184101610

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. CHARLES D FRASERCredential: FNP

Location Address36 BRIDGE WAYPascoag, RI 02859-3131

Mailing AddressPo Box 312Pascoag, RI 02859-0312 · (401) 567-0800 · Fax (401) 568-7949

Phone(401) 567-0800

Fax(401) 568-7949

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 26, 2018

Last NPPES UpdateMay 16, 20243 updates tracked since enumeration

NPPES CertifiedMay 16, 2024

✔ NPI 1184101610 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 RI · APRN01902

36 BRIDGE WAY, Pascoag, RI 02859

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Secondary Practice Location 1

Location 1657 Worcester St Apt 204Southbridge, MA 01550-1358 · Phone (860) 428-7622

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

Mr. Charles D Fraser Fnp 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 ID5890048219

PECOS Enrollment IDI20181031001994

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

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.

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.

49 services25 patients

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02859 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 supplier12 claims12 services$12.74 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 supplier12 claims12 services$56.03 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 20

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

NORTHWEST COMMUNITY HEALTH CARE

Clinic/Center (Federally Qualified Health Center (FQHC))