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KIMBERLY FRAZE PHARMD, PMHNP
NPI 1336500768
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since March 12, 2016PECOS Enrolled
2622 LAKE AVE STE 1, FORT WAYNE, IN 46805(260) 436-0932 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2024, Jun 19, 2024, Jun 10, 2024 (3 updates tracked since 2024).

About Kimberly Fraze Pharmd, Pmhnp NPPES

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

KIMBERLY FRAZE PHARMD, PMHNP (NPI 1336500768) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (71015408A) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336500768
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY FRAZECredential: PHARMD, PMHNP
Location Address2622 LAKE AVE STE 1Fort Wayne, IN 46805-5410
Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (260) 436-0932
Phone(260) 436-0932
Sole ProprietorNo
Enumeration DateMarch 12, 2016
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1336500768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IN · 71015408A✔ Licensed in AK · 223324
2622 LAKE AVE STE 1, Fort Wayne, IN 46805
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Fraze Pharmd, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Fraze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meridian Health Services Corp.
Same address
Federally Qualified Health Center (FQHC)
2622 LAKE AVE STE 1
Fort Wayne, IN 46805
  • Reassigned Medicare billing, Indiana enrollment
  • 322 clinicians in this Medicare group
NPI 1568192458 (765) 288-1928

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 9

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

ALEXIS CHAPMAN
Nurse Practitioner (Psychiatric/Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 494-4135
DR. WEN-CHOU TANG M.D.
Family Medicine
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160
AMBER M. HISS MSW, LCSW
Counselor (Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160
ERIKA WILLIAMS
Social Worker (Clinical)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160
ANNA KAYLEEN ENNIS LCSW
Social Worker (Clinical)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160
MISS VANESSA MICHELLE HOGAN LMHC, LCAC
Counselor (Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160
MERIDIAN HEALTH SERVICES CORP.
Clinic/Center (Federally Qualified Health Center (FQHC))
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (765) 288-1928
MR. TIMOTHY SCOTT REMINGTON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160

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 Kimberly Fraze's NPI number?

The NPI number for Kimberly Fraze is 1336500768. It was assigned to this individual provider in the NPPES registry on March 12, 2016.

Where is Kimberly Fraze located?

Kimberly Fraze practices at 2622 Lake Ave Ste 1, Fort Wayne, IN 46805. The listed phone number is (260) 436-0932.

What is Kimberly Fraze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Fraze enrolled in Medicare?

Yes. Kimberly Fraze is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Fraze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fraze reassigns Medicare benefits to Meridian Health Services Corp. (Fort Wayne, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Fraze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Fraze accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare list Kimberly Fraze 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 Kimberly Fraze was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.