Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellie Frazier

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043668916

Kellie Frazier is a Nurse Practitioner in Kernersville, North Carolina. Qualified in 2016, 10 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1471 Jag Branch Blvd Unit 105
Kernersville, NC 27284-6963
Phone: (336) 277-6430
Fax: (336) 277-6448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 — (336) 718-7224

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5008672 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043668916
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kernersville