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Kristina Lea Frauenheim

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as KRISTINA FRAUENHEIM.

Based on the most recent information from CMS, provider Kristina Lea Frauenheim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1154981322
Provider Type
Individual
Full Name
Frauenheim, Kristina Lea
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
6/19/2019
Last Updated
10/5/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11002930 Florida

Kristina Lea Frauenheim

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hartley, Michel

Hemminger, Lois

Koenig, Dayna Margaret Demarco

Cuthbert, Kristin

Dehr, Lindsay Mychael

Carmon, Stephanie Victoria

Forgan, Anita

Romecki, Bree Z Brasch

Mucha, Jennifer Shay

Tyle, Veronica Fernicola