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LUCAS FRALEY PMHNP
NPI 1417669060
Nurse Practitioner - Psychiatric/Mental Health in Madison, WI

Active since December 14, 2022PECOS EnrolledAccepts Medicare Assignment
5401 QUARRY PARK RD, MADISON, WI 53718(844) 767-3769 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 9, 2024, Jan 16, 2023, Dec 14, 2022 (3 updates tracked since 2022).

About Lucas Fraley Pmhnp NPPES

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

LUCAS FRALEY PMHNP (NPI 1417669060) is an individual psychiatric/mental health provider in Madison, Wisconsin, licensed in Maryland (AC004854) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salisbury, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417669060
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameLUCAS FRALEYCredential: PMHNP
Location Address5401 QUARRY PARK RDMadison, WI 53718-7901
Mailing Address100 E Carroll StSalisbury, MD 21801-5422 · (410) 546-6400
Phone(844) 767-3769
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 14, 2022
Last NPPES UpdateAugust 26, 20253 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1417669060 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
License✔ Licensed in MD · AC004854
5401 QUARRY PARK RD, Madison, WI 53718
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 E Carroll StSalisbury, MD 21801-5422 · Phone (202) 360-4787

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Network Health, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lucas Fraley Pmhnp 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 ID2567832678
PECOS Enrollment IDI20250702002977
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 Reassignments

3

Medicare enrollment records show Lucas Fraley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Madison Bh, LLC
Same address
Psychiatric Hospital
5401 QUARRY PARK ROAD
Madison, WI 53718
  • Reassigned Medicare billing, Wisconsin enrollment
  • 12 clinicians in this Medicare group
NPI 1386498012 (608) 690-7111
Axis Healthcare Group
700 mi
Psychiatry
8040 GEORGIA AVE STE 170
Silver Spring, MD 20910
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 128 clinicians in this Medicare group
NPI 1326295098 (202) 360-4787
Tidalhealth Specialty Care, LLC
789 mi
Medical Specialty
100 E CARROLL ST
Salisbury, MD 21801
  • Reassigned Medicare billing, Maryland enrollment
  • 531 clinicians in this Medicare group
NPI 1619504735 (410) 546-6400

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 53718 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 7

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

WAGDY A KHALIL
Psychiatry & Neurology (Psychiatry)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
SYLVESTER NDIFOR APNP
Nurse Practitioner (Psychiatric/Mental Health)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
DR. STEPHANIE RENE GRAHAM PHD
Psychologist (Counseling)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
DOUGLAS S BELL MD
Psychiatry & Neurology (Psychiatry)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
CHADD FRANCIS DEGRUSH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
HALEY DECERO NP
Nurse Practitioner (Family)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
ELFRIDA NWACHUKWU DNP PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (608) 690-7111

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 Lucas Fraley's NPI number?

The NPI number for Lucas Fraley is 1417669060. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Lucas Fraley located?

Lucas Fraley practices at 5401 Quarry Park Rd, Madison, WI 53718. The listed phone number is (844) 767-3769.

What is Lucas Fraley's specialty?

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

Is Lucas Fraley enrolled in Medicare?

Yes. Lucas Fraley 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.

Which organizations bill Medicare for Lucas Fraley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Fraley reassigns Medicare benefits to 3 organizations: Madison Bh, LLC (Madison, WI), Axis Healthcare Group (Silver Spring, MD) and Tidalhealth Specialty Care, LLC (Salisbury, MD). Each 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 Lucas Fraley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucas Fraley accept?

Health plans from Group Health Cooperative-SCW, Network Health and Security Health Plan list Lucas Fraley 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 Lucas Fraley was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.