MRS. AMY JOHNSTON FRASER (A.R.N.P.) – Nurse Practitioner, NPI 1104853241

MRS. AMY JOHNSTON FRASER (A.R.N.P.) is a healthcare provider. based in Tallahassee, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials A.R.N.P.. They hold a License No. ARNP9202410 (FL). The NPI Number for MRS. AMY JOHNSTON FRASER (A.R.N.P.) is 1104853241

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY JOHNSTON FRASER (A.R.N.P.)
NPI
1104853241
Phone
(850) 877-8539
Address
2631 CENTENNIAL BLVD
Enumeration Date
26 June 2006
Last Update Date
31 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043843343
Graduation Year
2003 (23 years ago)
PAC ID
9739199753
Group Practice PAC ID
5395725188
Professional Enrollment ID
I20060504000272
Address ID
FL322044736JA1824XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for MRS. AMY JOHNSTON FRASER (A.R.N.P.)

  • 2631, Centennial Boulevard, Regional Center, Saint Peter, Tallahassee, Leon County, Florida, 32308-8405, United States

    SUITE 100

    TALLAHASSEE, FL 323080588

    Phone: (850) 877-8539

    Fax: (850) 877-6674

    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)

CMS reports 9 Open Payments records for all available years, with a total value of $214.

Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Boston Scientific Corporation ($108).

Total Amount

$214

General + Research + Ownership

Payments

9

Total payment records

General Amount

$214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

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: 2006-05-04

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
I20060504000272INurse PractitionerFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes194181$0
99214Established patient office or other outpatient visit, 30-39 minutes150137$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 32308)

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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: 5395725188View full group profile
NameSpecialtyState
Thoracic SurgeryFL
Vascular SurgeryFL
Physician AssistantFL
Nurse PractitionerFL
Vascular SurgeryFL
Thoracic Surgery, Cardiac SurgeryGA
Physician AssistantFL
Physician AssistantTX
Thoracic Surgery, Cardiac SurgeryGA
Physician AssistantFL

Reviews

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Frequently asked questions

Can I verify MRS. AMY JOHNSTON FRASER (A.R.N.P.) with an NPI only?
You can start verification with NPI 1104853241 for MRS. AMY JOHNSTON FRASER (A.R.N.P.), then check state licensing separately.
Can I rely on MRS. AMY JOHNSTON FRASER (A.R.N.P.) being an active provider?
As of the registry snapshot, MRS. AMY JOHNSTON FRASER (A.R.N.P.) is marked active.
What is MRS. AMY JOHNSTON FRASER (A.R.N.P.)'s specialty?
The listing groups MRS. AMY JOHNSTON FRASER (A.R.N.P.) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. AMY JOHNSTON FRASER (A.R.N.P.) list a practice location?
Patients near Tallahassee, Florida may find MRS. AMY JOHNSTON FRASER (A.R.N.P.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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