| Mrs Stacy Nicole Frazier, NP | |
| 
					113 Bailey Dr Ste 3, Niceville, FL 32578-2756  | |
| (850) 460-9650 | |
| Not Available | 
| Full Name | Mrs Stacy Nicole Frazier | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Acute Care | 
| Location | 113 Bailey Dr Ste 3, Niceville, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073868303 | NPI | - | NPPES | 
| 1073868303 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001228415 (Virginia) | Secondary | 
| 363LA2100X | Nurse Practitioner - Acute Care | APRN11012640 (Florida) | Primary | 
| Entity Name | Coastal Anesthesia, P A | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932205606 PECOS PAC ID: 5890727036 Enrollment ID: O20051128000153  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Stacy Nicole Frazier, NP 113 Bailey Dr Ste 3, Niceville, FL 32578-2756 Ph: (850) 460-9650  | Mrs Stacy Nicole Frazier, NP 113 Bailey Dr Ste 3, Niceville, FL 32578-2756 Ph: (850) 460-9650  | 
Mrs. Misti D Schneidewind, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Oakwood Cir, Niceville, FL 32578 Phone: 850-897-4547 Fax: 850-897-4547  | |
Rachel Alexandra Marshall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4586 E Highway 20 Ste A, Niceville, FL 32578 Phone: 850-897-0110 Fax: 850-897-1626  | |
Shawn M. Lee, ACNP-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 E Highway 20, Niceville, FL 32578 Phone: 508-863-8219 Fax: 850-863-8249  | |
Elaine Peacock,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4562 E Highway 20, Niceville, FL 32578 Phone: 850-897-8550  | |
Kellie Kaiser Brock, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1571 Lakeside Dr, Niceville, FL 32578 Phone: 713-582-0937  | |
Ms. Mauricia Dora Stanton, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 College Blvd West, Suite B, Niceville, FL 32578 Phone: 850-279-6815  | |
Megan Marie Nall, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 College Blvd W Ste B1, Niceville, FL 32578 Phone: 850-252-4303 Fax: 833-963-2101  |