SCARLETT RAYNE FRYER – Physician Assistant, NPI 1902630411

SCARLETT RAYNE FRYER is a healthcare provider. based in Peninsula, Ohio. specializing in PHYSICIAN ASSISTANT. The NPI Number for SCARLETT RAYNE FRYER is 1902630411

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SCARLETT RAYNE FRYER
NPI
1902630411
Phone
(330) 428-7893
Address
6561 OLDE EIGHT RD
Enumeration Date
27 August 2024
Last Update Date
27 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
0446785638
Group Practice PAC ID
2860426376
Professional Enrollment ID
I20241125002967
Address ID
OH447182599Ca4912XNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for SCARLETT RAYNE FRYER

  • 6561 OLDE EIGHT RD

    PENINSULA, OH 442649793

    Phone: (330) 428-7893

    Type: Mailing

  • 4912 HIGBEE AVE NW

    CANTON, OH 447182599

    Phone: (330) 492-2844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($69).

Total Amount

$69

General + Research + Ownership

Payments

3

Total payment records

General Amount

$69

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: 2024-11-25

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
I20241125002967IPhysician AssistantOHTBD

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 44264)

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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: 2860426376View full group profile
NameSpecialtyState
Qualified AudiologistOH
Qualified AudiologistOH
-OH
Qualified AudiologistOH
O T O L A R Y N G O L O G YOH
O T O L A R Y N G O L O G YOH
Qualified AudiologistOH
Otolaryngology, Plastic And Reconstructive SurgeryOH
O T O L A R Y N G O L O G YOH
Physician AssistantOH

Reviews

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Frequently asked questions

What NPI should I save for SCARLETT RAYNE FRYER?
Save NPI 1902630411 if you need a stable reference for SCARLETT RAYNE FRYER.
Does this profile mean SCARLETT RAYNE FRYER is currently active?
Yes — SCARLETT RAYNE FRYER appears active in the national provider directory.
Does SCARLETT RAYNE FRYER list a primary specialty?
If you are matching referrals, note Physician Assistant for SCARLETT RAYNE FRYER. Clinical services aligned with this taxonomy classification.
Does SCARLETT RAYNE FRYER practice in Ohio?
You will see Peninsula, Ohio on file for SCARLETT RAYNE FRYER alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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