Individual provider

Vickie Fraser, APRN, PMHNP-BC, LPC

Psychiatric/Mental Health Nurse Practitioner Critical Care Medicine Registered Nurse Psychiatry Physician Medicare enrolled

Vickie Fraser, APRN, PMHNP-BC, LPC is a Psychiatric/Mental Health Nurse Practitioner in Montgomery, OH, registered under NPI 1104165893. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 6200 PFEIFFER RD, Montgomery, OH 45242. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

6200 PFEIFFER RD, Montgomery, OH 45242 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
APRN.CNP.0031019 OH Psychiatric/Mental Health Nurse… primary
RN.427558 OH Critical Care Medicine Registered Nurse
1150760 KY Critical Care Medicine Registered Nurse
3017561 KY Psychiatry Physician
APRN.CNP.0031019 OH Psychiatry Physician

Licences are recorded in 2 states: OH, KY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
1456747708

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Kentucky and Ohio. The practice address on file is in Montgomery, OH, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KY Kentucky
Licence
1150760
Specialty
Critical Care Medicine Registered Nurse
Verify with the KY board →
OH Ohio practice address
Licence
APRN.CNP.0031019
Specialty
Psychiatric/Mental Health Nurse…
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health APRN.CNP.0031019 OH primary
163WC0200X Critical Care Medicine Registered Nurse Critical Care Medicine RN.427558 OH
163WC0200X Critical Care Medicine Registered Nurse Critical Care Medicine 1150760 KY
2084P0800X Psychiatry Physician Psychiatry 3017561 KY
2084P0800X Psychiatry Physician Psychiatry APRN.CNP.0031019 OH

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104165893 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 31, 2013
Last updatedOct 31, 2022
StatusActive
Sole proprietorYes
CredentialAPRN, PMHNP-BC, LPC
Practice address 6200 PFEIFFER RD
Montgomery, OH 45242
(513) 862-4957
The last update on file is Oct 31, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104165893 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 1 6 5 8 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 2 6 1 8 9

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104165893?
NPI 1104165893 is the National Provider Identifier assigned to Vickie Fraser, APRN, PMHNP-BC, LPC in Montgomery, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Vickie Fraser, APRN, PMHNP-BC, LPC?
The phone number on file with NPPES is (513) 862-4957, last updated Oct 31, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Vickie Fraser, APRN, PMHNP-BC, LPC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104165893 a valid number?
Yes. 1104165893 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.