Individual provider

Kezza Frye

Gerontology Nurse Practitioner Nurse Practitioner Medicare enrolled

Kezza Frye is a Gerontology Nurse Practitioner in West Allis, WI, registered under NPI 1700405396. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2514 S 102ND ST STE 160, West Allis, WI 53227. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2514 S 102ND ST STE 160, West Allis, WI 53227 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
10001-33 WI Gerontology Nurse Practitioner primary
10001-33 WI Nurse Practitioner

This provider holds licence 10001-33 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
4981012119
Enrollment ID
I20210428000077

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

What Gerontology covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LG0600X Gerontology Nurse Practitioner Gerontology 10001-33 WI primary
363L00000X Nurse Practitioner 10001-33 WI

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.

NPI1700405396 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 13, 2020
Last updatedMar 11, 2025
StatusActive
Sole proprietorNo
Practice address 2514 S 102ND ST STE 160
West Allis, WI 53227
(414) 255-0300
Mailing address 2555 N DR MARTIN LUTHER KING JR DR
Milwaukee, WI 53212
This record was updated on Mar 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1700405396 passes the NPI check digit test The final digit 6 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 7 0 0 4 0 5 3 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 0 0 8 0 1 3 9

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

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 1700405396?
NPI 1700405396 is the National Provider Identifier assigned to Kezza Frye in West Allis, WI. 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 Gerontology cover?
Definition to come...
How do I contact Kezza Frye?
The phone number on file with NPPES is (414) 255-0300, last updated Mar 11, 2025. 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 Kezza Frye 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 1700405396 a valid number?
Yes. 1700405396 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.