KATIE FRALICK – Physician Assistant, NPI 1649820366

KATIE FRALICK is a healthcare provider. based in Convoy, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 10002847A (IN). The NPI Number for KATIE FRALICK is 1649820366

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATIE FRALICK
NPI
1649820366
Phone
(419) 605-3854
Address
3381 FOSTER SCHOOL RD
Enumeration Date
14 September 2019
Last Update Date
4 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2603739590
Graduation Year
2019 (7 years ago)
PAC ID
7012340474
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20191126001137
Address ID
IN467011534AL817XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

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Provider Addresses for KATIE FRALICK

  • 3381 FOSTER SCHOOL RD

    CONVOY, OH 458328919

    Phone: (419) 605-3854

    Type: Mailing

  • Adams Memorial Hospital, 1100, Mercer Avenue, Decatur, Adams County, Indiana, 46733, United States

    DECATUR, IN 467332303

    Phone: (260) 724-2145

    Type: Location

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • 5693 YMCA PARK DR W

    FORT WAYNE, IN 468353280

    Phone: (260) 469-6603

    Fax: (260) 486-6123

    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: 2019-11-26

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
I20191126001137IPhysician AssistantINTBD

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 minutes3635$0
99214Established patient office or other outpatient visit, 30-39 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 45832)

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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: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

Can I verify KATIE FRALICK with an NPI only?
You can start verification with NPI 1649820366 for KATIE FRALICK, then check state licensing separately.
Is KATIE FRALICK still practicing?
KATIE FRALICK is currently listed as active in the public NPI registry.
What is KATIE FRALICK's primary classification?
Physician Assistant is the headline specialty for KATIE FRALICK here. Clinical services aligned with this taxonomy classification.
What area does KATIE FRALICK serve?
KATIE FRALICK's listing highlights Convoy, Ohio; more addresses can appear in NPPES.
Why does KATIE FRALICK have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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