KEZZA FRYE
NPI 1700405396
Nurse Practitioner - Gerontology in West Allis, WI

Q: What is Kezza Frye's NPI number?

The NPI number for Kezza Frye is 1700405396. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Q: What is Kezza Frye's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kezza Frye was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 13, 2020PECOS Enrolled

2514 S 102ND ST STE 160, WEST ALLIS, WI 53227(414) 255-0300 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, Jan 26, 2023, Apr 13, 2020 (3 updates tracked since 2020).

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About Kezza Frye NPPES

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

KEZZA FRYE (NPI 1700405396) is an individual gerontology provider in West Allis, Wisconsin, licensed in Wisconsin (10001-33) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700405396

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKEZZA FRYE

Location Address2514 S 102ND ST STE 160West Allis, WI 53227-2142

Mailing Address2555 N Dr Martin Luther King Jr DrMilwaukee, WI 53212-2709 · (414) 372-8080

Phone(414) 255-0300

Sole ProprietorNo

Enumeration DateApril 13, 2020

Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration

NPPES CertifiedMarch 11, 2025

✔ NPI 1700405396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in WI · 10001-33

Also ListedNurse PractitionerTaxonomy 363L00000X · License 10001-33 (WI)

2514 S 102ND ST STE 160, West Allis, WI 53227

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Secondary Practice Locations 2

Location 12555 N Dr Martin Luther King DrMilwaukee, WI 53212-2709 · Phone (414) 372-8080 · Fax (414) 562-8084

Location 28200 W Silver Spring DrMilwaukee, WI 53218-2552 · Phone (414) 760-3900 · Fax (414) 464-6076

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kezza Frye 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 53227 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 14

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

WILLIAM NICHOLSON MD

Family Medicine