MISS MARYANNE FRASER
NPI 1891151536
Nurse Practitioner - Family in New York, NY

Q: What is Maryanne Fraser's NPI number?

The NPI number for Maryanne Fraser is 1891151536. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Q: What is Maryanne Fraser's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maryanne Fraser was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 11, 2016PECOS Enrolled

301 E 17TH ST, NEW YORK, NY 10003(212) 598-6000 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Maryanne Fraser NPPES

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

MISS MARYANNE FRASER (NPI 1891151536) is an individual family provider in New York, New York, licensed in New York (339029) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891151536

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS MARYANNE FRASER

Location Address301 E 17TH STNew York, NY 10003-3804

Mailing Address2554 123rd StFlushing, NY 11354-1039 · (718) 309-5249

Phone(212) 598-6000

Sole ProprietorNo

Enumeration DateJanuary 11, 2016

✔ NPI 1891151536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in NY · 339029

301 E 17TH ST, New York, NY 10003

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Maryanne Fraser 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 10003 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 20

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

DR. CHRISTOPHER MICHAEL PETRILLI MD

Hospitalist