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

Roshonda E Frazier, FNP

Individual provider Nurse Practitioner · NPI 1710518238

Roshonda E Frazier, FNP is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2018, 8 years ago. Practices with Complexcare Medical Group Midwest M PLLC, a 80-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
8
Licensed in
IL, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4517 38th Ave
Kenosha, WI 53144-3643
Phone: (262) 220-5815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2029020899 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 10147-33 (WI)

Record details

NPI number1710518238
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 3, 2020
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Complexcare Medical Group Midwest M Pllc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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