EMMA-LEE FRARY – Family Nurse Practitioner, NPI 1386454205

EMMA-LEE FRARY is a healthcare provider. based in Ventura, California. specializing in NURSE PRACTITIONER. They hold a License No. 95335866 (CA). The NPI Number for EMMA-LEE FRARY is 1386454205

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
EMMA-LEE FRARY
NPI
1386454205
Phone
Not provided
Address
480 CORNELL PL
Enumeration Date
13 January 2025
Last Update Date
13 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7603502498
Graduation Year
2024 (2 years ago)
PAC ID
0840714184
Group Practice PAC ID
6507273711
Professional Enrollment ID
I20250408003845
Address ID
CA922251651BL321XXHOBS300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for EMMA-LEE FRARY

  • 480 CORNELL PL

    VENTURA, CA 930033859

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250408003845INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507273711View full group profile
NameSpecialtyState
Internal MedicineCA
Physician AssistantCO

Reviews

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Frequently asked questions

How do I look up EMMA-LEE FRARY by NPI?
Use NPI 1386454205 when you need to reference EMMA-LEE FRARY in forms, claims, or directories.
Is EMMA-LEE FRARY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is EMMA-LEE FRARY?
The page reflects Family Nurse Practitioner for EMMA-LEE FRARY. Clinical services aligned with this taxonomy classification.
What location metadata exists for EMMA-LEE FRARY?
The page summarizes Ventura, California for EMMA-LEE FRARY; expand the address list for detail.
Is EMMA-LEE FRARY a real provider?
This page reflects official NPPES data for NPI 1386454205. Always confirm identity and privileges with the practice and licensing boards.

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