SARA K. FREDERICK (PA-C) – Physician Assistant, NPI 1902209414

SARA K. FREDERICK (PA-C) is a healthcare provider. based in Oneill, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1852 (NE). The NPI Number for SARA K. FREDERICK (PA-C) is 1902209414

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SARA K. FREDERICK (PA-C)
NPI
1902209414
Phone
Not provided
Address
PO BOX 270
Enumeration Date
29 September 2014
Last Update Date
20 July 2018

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
4023362611
Graduation Year
2014 (12 years ago)
PAC ID
2668693003
Group Practice PAC ID
4486548203
Professional Enrollment ID
I20141028001191
Address ID
NE687631514ON300XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for SARA K. FREDERICK (PA-C)

  • PO BOX 270

    ONEILL, NE 687630270

    Phone:

    Type: Mailing

  • 300 N 2ND ST

    SUITE 100

    ONEILL, NE 68763

    Phone: (402) 336-2900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $310.

Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Lilly USA, LLC ($123).

Total Amount

$310

General + Research + Ownership

Payments

16

Total payment records

General Amount

$310

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (952 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
I20141028001191IPhysician AssistantNE2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 68763)

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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: 4486548203View full group profile
NameSpecialtyState
Internal MedicineNE
Physician AssistantNE
Family PracticeNE
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerNE
Nurse PractitionerNE
Family PracticeNE
-NE
Physician AssistantNE
General SurgeryNE

Reviews

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Frequently asked questions

What unique ID ties claims to SARA K. FREDERICK (PA-C)?
NPI 1902209414 is assigned to SARA K. FREDERICK (PA-C) under the national enumeration system.
Does this profile mean SARA K. FREDERICK (PA-C) is currently active?
Yes — SARA K. FREDERICK (PA-C) appears active in the national provider directory.
What does SARA K. FREDERICK (PA-C) treat or focus on?
Patients typically see SARA K. FREDERICK (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does SARA K. FREDERICK (PA-C) practice in Nebraska?
You will see Oneill, Nebraska on file for SARA K. FREDERICK (PA-C) alongside any extra practice locations.
How can I contact SARA K. FREDERICK (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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