RACHEL L FREDERICKSON (PA-C) – Physician Assistant, NPI 1346215894

RACHEL L FREDERICKSON (PA-C) is a healthcare provider. based in Colorado springs, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3263 (CO). The NPI Number for RACHEL L FREDERICKSON (PA-C) is 1346215894

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL L FREDERICKSON (PA-C)
NPI
1346215894
Phone
(719) 355-1585
Address
9348 GRAND CORDERA PKWY
Enumeration Date
20 February 2006
Last Update Date
4 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7193551585
Graduation Year
2002 (24 years ago)
PAC ID
4880595198
Group Practice PAC ID
9436209285
Professional Enrollment ID
I20120209000813
Address ID
CO809213852CO13492DRXX401

Contacts

Secure Messaging
vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,161 PHYSICIAN ASSISTANT in CO

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Provider Addresses for RACHEL L FREDERICKSON (PA-C)

  • 9348, Grand Cordera Parkway, Colorado Springs, El Paso County, Colorado, 80924, United States

    SUITE 160

    COLORADO SPRINGS, CO 809247023

    Phone: (719) 355-1585

    Fax: (719) 623-2983

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2023-10-19 • Largest payer in this snapshot: PFIZER INC. ($81).

Total Amount

$81

General + Research + Ownership

Payments

1

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$81
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120209000813IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths27664$0
99213Established patient office or other outpatient visit, 20-29 minutes11185$0
17000Destruction of precancer skin growth, 1 growth10682$0
17110Destruction of skin growth, 1-14 growths8767$0
11102Biopsy of related skin growth, first growth6048$0
View full utilization report →

Insurance plans in this area (ZIP 80924)

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Provider's Procedures

RACHEL L FREDERICKSON (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCO11101Biopsy of each additional growth of skin and/or tissue3325
PHYSICIAN ASSISTANTCO17003Destruction of 2-14 skin growths557110

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436209285View full group profile
NameSpecialtyState
Otolaryngology, Plastic And Reconstructive SurgeryCO
Physician AssistantMN
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Nurse PractitionerCO
Physician AssistantNV
Dermatology, PathologyCO
D E R M A T O L O G YCO
Physician AssistantCO
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I verify RACHEL L FREDERICKSON (PA-C) with an NPI only?
You can start verification with NPI 1346215894 for RACHEL L FREDERICKSON (PA-C), then check state licensing separately.
Is RACHEL L FREDERICKSON (PA-C) still practicing?
RACHEL L FREDERICKSON (PA-C) is currently listed as active in the public NPI registry.
What is RACHEL L FREDERICKSON (PA-C) best known for clinically?
Directory data describes RACHEL L FREDERICKSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is RACHEL L FREDERICKSON (PA-C) based?
RACHEL L FREDERICKSON (PA-C) is tied to Colorado Springs, Colorado in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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