JUSTIN FRAZIER (PA) – Physician Assistant, NPI 1114679289

JUSTIN FRAZIER (PA) is a healthcare provider. based in Arvada, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for JUSTIN FRAZIER (PA) is 1114679289

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN FRAZIER (PA)
NPI
1114679289
Phone
(303) 883-1606
Address
12650 W 64TH AVE
Enumeration Date
20 January 2022
Last Update Date
20 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9706694855
Graduation Year
2022 (4 years ago)
PAC ID
0446646905
Group Practice PAC ID
0648164780
Professional Enrollment ID
I20220408001791
Address ID
CO805376419LO302XXSEXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:4State licenses:0Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for JUSTIN FRAZIER (PA)

  • 12650 W 64TH AVE

    UNIT E501

    ARVADA, CO 800043893

    Phone: (303) 883-1606

    Fax: (303) 425-8981

    Type: Mailing

  • 12650 W 64TH AVE UNIT E501

    ARVADA, CO 800043893

    Phone: (303) 431-4127

    Type: Location

  • 2001 S SHIELDS ST STE 101

    FORT COLLINS, CO 805261827

    Phone: (970) 297-6600

    Fax: (970) 297-6601

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$22
View all Open Payments →|Open Payments Risk Radar →

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: 2022-04-08

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
I20220408001791IPhysician AssistantCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes19164$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2520$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2414$0
View full utilization report →

Insurance plans in this area (ZIP 80004)

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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: 0648164780View full group profile
NameSpecialtyState
Nurse PractitionerCO
Physician AssistantCO
Family PracticeCO
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantTX
-CO
Family Practice, Obstetrics/GynecologyCO
Nurse PractitionerCO
Physician AssistantCO

Reviews

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Frequently asked questions

What federal number belongs to JUSTIN FRAZIER (PA)?
The federal identifier for JUSTIN FRAZIER (PA) is NPI 1114679289.
Is JUSTIN FRAZIER (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JUSTIN FRAZIER (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for JUSTIN FRAZIER (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for JUSTIN FRAZIER (PA)?
The page summarizes Arvada, Colorado for JUSTIN FRAZIER (PA); expand the address list for detail.
What if Arvada, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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