KIMBERLY FRAZE PHARMD, PMHNP - NPI 1336500768 - Nurse Practitioner in Fort Wayne, IN

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Fraze was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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 8

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

ALEXIS CHAPMAN

Nurse Practitioner (Psychiatric/Mental Health)