LUBOV FRY (ARNP) – Nurse Practitioner, NPI 1194714824

LUBOV FRY (ARNP) is a healthcare provider. based in Coldwater, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 4704319901 (MI). The NPI Number for LUBOV FRY (ARNP) is 1194714824

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
LUBOV FRY (ARNP)
NPI
1194714824
Phone
(954) 336-1824
Address
718 E CHANNEL DR
Enumeration Date
15 October 2005
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8632971787
Graduation Year
1997 (29 years ago)
PAC ID
2163483744
Group Practice PAC ID
5991604852
Professional Enrollment ID
I20041026001162
Address ID
FL338814131WI200XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for LUBOV FRY (ARNP)

  • 718 E CHANNEL DR

    COLDWATER, MI 490369425

    Phone: (954) 336-1824

    Type: Mailing

  • 892, East Chicago Street, Coldwater, Branch County, Michigan, 49036, United States

    COLDWATER, MI 490362063

    Phone: (517) 278-2301

    Fax: (517) 278-2784

    Type: Location

  • 777 Glades Rd

    Florida Atlantic University, Student Health

    Boca Raton, FL 334316424

    Phone: (561) 297-3512

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $747.

Total Amount is formed as General ($747) + Research ($0) + Ownership ($0) = $747.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Smith+Nephew, Inc. ($213).

Total Amount

$747

General + Research + Ownership

Payments

26

Total payment records

General Amount

$747

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2016-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041026001162INurse PractitionerFLTBD
I20160822001249INurse PractitionerMITBD

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 49036)

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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: 5991604852View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
General SurgeryFL
Emergency MedicineFL
-FL
Vascular Surgery, General SurgeryFL
-FL
Cardiac Surgery, Thoracic Surgery, Cardiovascular Disease (Cardiology)FL
Internal MedicineFL
General SurgeryFL
-FL

Reviews

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Frequently asked questions

How do I look up LUBOV FRY (ARNP) by NPI?
Use NPI 1194714824 when you need to reference LUBOV FRY (ARNP) in forms, claims, or directories.
Is LUBOV FRY (ARNP) active in the national directory?
LUBOV FRY (ARNP)'s public NPI profile is in an active state.
What does LUBOV FRY (ARNP) treat or focus on?
Patients typically see LUBOV FRY (ARNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LUBOV FRY (ARNP)'s primary listing?
We display Coldwater, Michigan because that is what the record indicates for LUBOV FRY (ARNP).
Is LUBOV FRY (ARNP) a real provider?
This page reflects official NPPES data for NPI 1194714824. Always confirm identity and privileges with the practice and licensing boards.

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