MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104165893

MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC) is a healthcare provider. based in Knoxville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC, LPC. They hold a License No. RN.427558 (OH). The NPI Number for MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC) is 1104165893

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC)
NPI
1104165893
Phone
(865) 769-8932
Address
2012 HYDE PARK LN
Enumeration Date
31 January 2013
Last Update Date
31 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5132467000
Graduation Year
2021 (5 years ago)
PAC ID
1456747708
Group Practice PAC ID
1850570458
Professional Enrollment ID
I20221122001819
Address ID
OH452202475CI379XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:13State licenses:4Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC)

  • 2012 HYDE PARK LN

    KNOXVILLE, TN 379214967

    Phone: (865) 769-8932

    Fax: (865) 769-8932

    Type: Mailing

  • 710 Lakewood Dr

    Taylor Mill, KY 410154408

    Phone: (865) 806-0943

    Fax: (865) 806-0943

    Type: Location

  • 6200 PFEIFFER RD

    MONTGOMERY, OH 452425862

    Phone: (513) 862-4957

    Type: Mailing

  • 710 LAKEWOOD DR

    TAYLOR MILL, KY 410154408

    Phone: (865) 806-0943

    Fax: (865) 769-8932

    Type: Mailing

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 $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Novo Nordisk Inc ($53).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$53
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: 2022-11-22

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
I20221122001819INurse PractitionerOHTBD

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
96127Assessment of emotional or behavioral problems10815$0
99214Established patient office or other outpatient visit, 30-39 minutes2713$0
90792Psychiatric diagnostic evaluation with medical services1919$0
View full utilization report →

Insurance plans in this area (ZIP 37921)

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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: 1850570458View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOH
Radiation OncologyOH
O T O L A R Y N G O L O G YOH
P O D I A T R YOH
Physician AssistantOH
H O S P I T A L I S TMD
Nurse PractitionerCO
H O S P I T A L I S TIL
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is the standard ID for MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC) in the U.S.?
In the U.S., MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC) is identified by NPI 1104165893.
Quick check: is MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC) active?
Public NPPES data shows MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC) with an active NPI status right now.
What services align with MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC)'s listing?
MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC)?
MS. VICKIE BRADLEY FRASER (APRN, PMHNP-BC, LPC) shows a connection to Knoxville, Tennessee in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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