JACQUELINE FRAZER (ARNP) – Nurse Practitioner, NPI 1326660978

JACQUELINE FRAZER (ARNP) is a healthcare provider. based in Sunrise, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. RN9304259 (FL). The NPI Number for JACQUELINE FRAZER (ARNP) is 1326660978

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE FRAZER (ARNP)
NPI
1326660978
Phone
(800) 243-3839
Address
1500 CONCORD TER
Enumeration Date
16 May 2020
Last Update Date
19 September 2024

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8133313940
Graduation Year
2020 (6 years ago)
PAC ID
3779021357
Group Practice PAC ID
1052531894
Professional Enrollment ID
I20240814000891
Address ID
FL335705220RU3040XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:6State licenses:3Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for JACQUELINE FRAZER (ARNP)

  • 1500 CONCORD TER

    SUNRISE, FL 333232815

    Phone: (800) 243-3839

    Type: Mailing

  • 83 W MILLER ST

    ORLANDO, FL 328062009

    Phone: (321) 843-9792

    Type: Location

  • 2116 SONG SPARROW CT

    RUSKIN, FL 335708007

    Phone:

    Type: Mailing

  • 3040 E COLLEGE AVE

    RUSKIN, FL 335705220

    Phone: (813) 331-3940

    Type: Location

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: 2024-08-14

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
I20240814000891INurse 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.

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

Insurance plans in this area (ZIP 33323)

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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: 1052531894View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find JACQUELINE FRAZER (ARNP)'s NPI?
You can confirm JACQUELINE FRAZER (ARNP) with NPI 1326660978; it appears in the national provider directory.
Is JACQUELINE FRAZER (ARNP) currently active in the NPI registry?
CMS-published data lists JACQUELINE FRAZER (ARNP) as an active registrant.
What field does JACQUELINE FRAZER (ARNP) work in?
You can think of JACQUELINE FRAZER (ARNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JACQUELINE FRAZER (ARNP)'s primary listing?
We display Sunrise, Florida because that is what the record indicates for JACQUELINE FRAZER (ARNP).
How can I contact JACQUELINE FRAZER (ARNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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