Ms Jerrica Nicole Frazier, FNP in Shubuta, MS

Ms Jerrica Nicole Frazier, FNP is a medicare enrolled "Nurse Practitioner - Family" in Shubuta, Mississippi. Her current practice location is 130 N High St, Shubuta, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 687-5859.

Ms Jerrica Nicole Frazier is licensed to practice in Mississippi (license number 906624) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033950217.

Contact Information

	Ms Jerrica Nicole Frazier, FNP
	130 N High St, Shubuta, MS 39360-8882
	(601) 687-5859
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jerrica Nicole Frazier
Gender	Female
Speciality	Nurse Practitioner - Family
Location	130 N High St, Shubuta, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033950217
Provider Enumeration Date: 06/03/2024
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8921534983
Enrollment ID: I20241213001322

Medical Identifiers

Medical identifiers for Ms Jerrica Nicole Frazier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033950217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	237622 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	906624 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Jerrica Nicole Frazier allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Louisiana, L.l.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285975482 PECOS PAC ID: 7618106477 Enrollment ID: O20140128000722

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jerrica Nicole Frazier is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Jerrica Nicole Frazier, FNP Po Box 284, Vossburg, MS 39366-0284 Ph: (601) 616-4285	Ms Jerrica Nicole Frazier, FNP 130 N High St, Shubuta, MS 39360-8882 Ph: (601) 687-5859

Reviews and Comments

Nurse Practitioner Nurses in Shubuta, MS

Mrs. Virgie C Wade, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 North High St, Shubuta, MS 39360 Phone: 601-687-1391 Fax: 601-687-0051
Mr. Robert William Dycus, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 N. High Street, Shubuta, MS 39360 Phone: 601-687-1391
Shanika Boyd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 N High St, Shubuta, MS 39360 Phone: 601-687-1391 Fax: 601-687-0051
Patricia Simpson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 N High St, Shubuta, MS 39360 Phone: 601-687-1391
Karen Parker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130n High St, Shubuta, MS 39360 Phone: 601-687-1391 Fax: 601-687-0051
Chasity Michelle Sisson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 N High St, Shubuta, MS 39360 Phone: 601-687-1391

Ms Jerrica Nicole Frazier, FNP - Medicare Nurse Practitioner in Shubuta, MS