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

Mr. Martin Innis Frazee III, NP

Individual provider Registered Nurse · NPI 1548824089

Mr. Martin Innis Frazee III, NP is a Nurse Practitioner in Woburn, Massachusetts. Qualified in 2023, 3 years ago. Practices with Square Medical Group LLC, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

800 W Cummings Park Ste 1800
Woburn, MA 01801-6373
Phone: (617) 916-5069
Fax: (617) 467-4073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2351899 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2351899 (MA)

Record details

NPI number1548824089
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 30, 2019
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Square Medical Group Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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