KATHY ANNETTE FRASURE RN
NPI 1629255831
Nurse Practitioner - Family in Bloomington, IN
About Kathy Annette Frasure Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHY ANNETTE FRASURE RN (NPI 1629255831) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71002676A) and active in the NPI registry since January 2008. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kathy Annette Frasure Rn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2018 through October 1, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathy Frasure's NPI number?
The NPI number for Kathy Frasure is 1629255831. It was assigned to this individual provider in the NPPES registry on January 30, 2008.
Where is Kathy Frasure located?
Kathy Frasure practices at 645 S Rogers St, Bloomington, IN 47403. The listed phone number is (812) 339-1691.
What is Kathy Frasure's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathy Frasure enrolled in Medicare?
No. Kathy Frasure has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kathy Frasure was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kathy Annette Frasure, RN · NPI 1629255831
Family physician in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since January 30, 2008.
## Identity
- **NPI:** 1629255831 (Entity type: Individual)
- **Enumerated:** January 30, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71002676A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 645 S ROGERS ST, Bloomington, IN 47403-2353
- **Phone:** (812) 339-1691 · **Fax:** (812) 337-2438
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** August 14, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1629255831) · Data from the CMS NPPES public registry.