JESSICA DANIELLE FRASER PHYSICIAN ASSISTANT
NPI 1437591625
Physician Assistant - Surgical in Bay Shore, NY
About Jessica Danielle Fraser Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA DANIELLE FRASER PHYSICIAN ASSISTANT (NPI 1437591625) is an individual surgical provider in Bay Shore, New York and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Danielle Fraser Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BAY SHORE, NY 11706
BAY SHORE, NY 11706
BAY SHORE, NY 11706
BAY SHORE, NY 11706
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 Jessica Fraser's NPI number?
The NPI number for Jessica Fraser is 1437591625. It was assigned to this individual provider in the NPPES registry on July 29, 2013.
Where is Jessica Fraser located?
Jessica Fraser practices at 39 Brentwood Rd Ste 101, Bay Shore, NY 11706. The listed phone number is (631) 589-7400.
What is Jessica Fraser's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jessica Fraser enrolled in Medicare?
Yes. Jessica Fraser is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jessica Fraser was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jessica Danielle Fraser, PHYSICIAN ASSISTANT · NPI 1437591625
Surgical physician in Bay Shore, New York. Individual provider, active in the CMS NPPES registry since July 29, 2013.
## Identity
- **NPI:** 1437591625 (Entity type: Individual)
- **Enumerated:** July 29, 2013
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 39 BRENTWOOD RD STE 101, Bay Shore, NY 11706-8031
- **Phone:** (631) 589-7400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1437591625) · Data from the CMS NPPES public registry.