DR. KENYATTA JAMAL FRAZIER (M.D.) – Emergency Medicine Physician, NPI 1023303138
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,309 EMERGENCY MEDICINE in WI
Provider Addresses for DR. KENYATTA JAMAL FRAZIER (M.D.)
800 Riverside Dr
Waupaca, WI 549811943
Phone: (715) 258-1000
Fax: (715) 258-1153
Type: Location
5140 NE 18TH AVE
FORT LAUDERDALE, FL 333345727
Phone: (843) 608-0928
Type: Mailing
2701 W 68TH ST
CHICAGO, IL 606291813
Phone: (773) 884-9000
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: 2025-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (985 days ago).
Enrollment records
8
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140930002163 | I | Emergency Medicine | IL | 2023-09-30 |
| I20150929001191 | I | Emergency Medicine | TX | TBD |
| I20151002001589 | I | Emergency Medicine | SC | TBD |
| I20190128002963 | I | Emergency Medicine | CA | TBD |
| I20200205000803 | I | Emergency Medicine | LA | TBD |
| I20230823002642 | I | Emergency Medicine | TN | TBD |
| I20230922001322 | I | Emergency Medicine | WI | TBD |
| I20251119001835 | I | Emergency Medicine | IN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 139 | 135 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 112 | 109 | $0 |
| 99291 | Critical care, first 30-74 minutes | 29 | 29 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 19 | 19 | $0 |
Insurance plans in this area (ZIP 54981)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | FL | |
| Emergency Medicine | IN | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | IN | |
| Emergency Medicine | OH | |
| Emergency Medicine | NJ | |
| - | CO | |
| Emergency Medicine | OH | |
| Emergency Medicine | MI |
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