TRACI M. FRYE (R.N., F.N.P.) – Family Medicine Physician, NPI 1356388094

TRACI M. FRYE (R.N., F.N.P.) is a healthcare provider. based in Enterprise, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials R.N., F.N.P.. They hold a License No. 093000596N1 (OR). The NPI Number for TRACI M. FRYE (R.N., F.N.P.) is 1356388094

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
TRACI M. FRYE (R.N., F.N.P.)
NPI
1356388094
Phone
(541) 426-5460
Address
601 MEDICAL PKWY
Enumeration Date
1 June 2006
Last Update Date
27 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
5890962054
Group Practice PAC ID
4183537566
Professional Enrollment ID
I20120111000937
Address ID
OR978285124En601XXPKWY300
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

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for TRACI M. FRYE (R.N., F.N.P.)

  • Wallowa Memorial Hospital, 601, Medical Parkway, Enterprise, Wallowa County, Oregon, 97828, United States

    ENTERPRISE, OR 978285124

    Phone: (541) 426-5460

    Type: Mailing

  • 100, North East Street, Joseph, Wallowa County, Oregon, 97846, United States

    JOSEPH, OR 97846

    Phone: (541) 432-7777

    Fax: (541) 432-7170

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-09-28 • Largest payer in this snapshot: TerSera Therapeutics LLC ($21).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-28

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: 2012-01-11

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
I20120111000937INurse PractitionerORTBD

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 97828)

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Provider's Procedures

TRACI M. FRYE (R.N., F.N.P.) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONEROR81002Urinalysis, manual test1716

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: 4183537566View full group profile
NameSpecialtyState
Orthopedic SurgeryMD
P O D I A T R YOR
Physician AssistantCO
Nurse PractitionerOR
Physician AssistantOR
Orthopedic SurgeryCA
Nurse PractitionerOR
Emergency Medicine, Medical OncologyWA
Family PracticeOR
General SurgeryIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for TRACI M. FRYE (R.N., F.N.P.)?
TRACI M. FRYE (R.N., F.N.P.) — NPI 1356388094 — is the standard way to identify this listing.
Is TRACI M. FRYE (R.N., F.N.P.) still practicing?
TRACI M. FRYE (R.N., F.N.P.) is currently listed as active in the public NPI registry.
What is TRACI M. FRYE (R.N., F.N.P.)'s specialty?
The listing groups TRACI M. FRYE (R.N., F.N.P.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for TRACI M. FRYE (R.N., F.N.P.)?
TRACI M. FRYE (R.N., F.N.P.)'s geographic hint is Enterprise, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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