DR. JORDYNN MICHELLE FRASER PSYD
NPI 1487430542
Psychologist in Charlotte, NC
About Dr. Jordynn Michelle Fraser Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDYNN MICHELLE FRASER PSYD (NPI 1487430542) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (6700) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springdale.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jordynn Michelle Fraser Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordynn Fraser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28207
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
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 Jordynn Fraser's NPI number?
The NPI number for Jordynn Fraser is 1487430542. It was assigned to this individual provider in the NPPES registry on September 5, 2023.
Where is Jordynn Fraser located?
Jordynn Fraser practices at 1900 Randolph Rd Ste 1010, Charlotte, NC 28207. The listed phone number is (704) 384-1390.
What is Jordynn Fraser's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jordynn Fraser enrolled in Medicare?
Yes. Jordynn Fraser is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordynn Fraser's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordynn Fraser reassigns Medicare benefits to Novant Health Medical Group, LLC (Charlotte, NC). 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 Jordynn Fraser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jordynn Fraser was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.