DENISE JANE FREDERICK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1700135670

DENISE JANE FREDERICK (CRNA) is a healthcare provider. based in Rochester, Minnesota. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. RN291317 (GA). The NPI Number for DENISE JANE FREDERICK (CRNA) is 1700135670

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DENISE JANE FREDERICK (CRNA)
NPI
1700135670
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
6 September 2012
Last Update Date
17 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
88840802002
Graduation Year
2012 (14 years ago)
PAC ID
0244480101
Group Practice PAC ID
2567763048
Professional Enrollment ID
I20200326003909

Contacts

Secure Messaging
choa@choa.gadirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

Provider Addresses for DENISE JANE FREDERICK (CRNA)

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • 1405 CLIFTON RD NE FL 3

    ATLANTA, GA 303221060

    Phone: (404) 785-6670

    Fax: (404) 785-1362

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-03-26

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
I20200326003909ICertified Registered Nurse Anesthetist (Crna)GATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55905)

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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: 2567763048View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)GA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)DE
-VA

Reviews

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Frequently asked questions

Is there an official ID for DENISE JANE FREDERICK (CRNA) in U.S. healthcare records?
The official identifier for DENISE JANE FREDERICK (CRNA) is NPI 1700135670.
Is DENISE JANE FREDERICK (CRNA) still an active registrant?
DENISE JANE FREDERICK (CRNA) carries an active NPI according to the public dataset.
What kind of doctor is DENISE JANE FREDERICK (CRNA)?
DENISE JANE FREDERICK (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DENISE JANE FREDERICK (CRNA)?
Travel planning: use Rochester, Minnesota as the reference point for DENISE JANE FREDERICK (CRNA), then confirm.
Can I trust this NPI listing for DENISE JANE FREDERICK (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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