DESHALA FRAZIER (APRN) – Family Nurse Practitioner, NPI 1356886196

DESHALA FRAZIER (APRN) is a healthcare provider. based in Tallahassee, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN9303538 (FL). The NPI Number for DESHALA FRAZIER (APRN) is 1356886196

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DESHALA FRAZIER (APRN)
NPI
1356886196
Phone
(850) 385-4494
Address
2804 REMINGTON GREEN CIR STE 2
Enumeration Date
4 January 2017
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8509731402
Graduation Year
2022 (4 years ago)
PAC ID
8921541772
Group Practice PAC ID
6103737697
Professional Enrollment ID
I20240620003487
Address ID
FL323402363MA235XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DESHALA FRAZIER (APRN)

  • 2804 REMINGTON GREEN CIR STE 2

    TALLAHASSEE, FL 323081550

    Phone: (850) 385-4494

    Type: Mailing

  • 235 SW DADE ST STE A

    MADISON, FL 323402363

    Phone: (850) 973-1402

    Fax: (850) 973-1450

    Type: Location

  • 454 NE CELOSIA DR

    MADISON, FL 323404161

    Phone: (850) 869-9474

    Fax: (850) 973-2203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $545.

Total Amount is formed as General ($545) + Research ($0) + Ownership ($0) = $545.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Novo Nordisk Inc ($198).

Total Amount

$545

General + Research + Ownership

Payments

32

Total payment records

General Amount

$545

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-06-20

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
I20240620003487INurse 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 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: 6103737697View full group profile

Reviews

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Frequently asked questions

Does DESHALA FRAZIER (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DESHALA FRAZIER (APRN) uses 1356886196.
Does CMS list DESHALA FRAZIER (APRN) as active?
Yes — DESHALA FRAZIER (APRN) is active in the NPI listing used on this page.
What is DESHALA FRAZIER (APRN)'s specialty?
The listing groups DESHALA FRAZIER (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does DESHALA FRAZIER (APRN) serve?
DESHALA FRAZIER (APRN)'s listing highlights Tallahassee, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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