AMANDA N FREDETTE (PA-C) – Physician Assistant, NPI 1083173421
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
773 PHYSICIAN ASSISTANT in RI
Provider Addresses for AMANDA N FREDETTE (PA-C)
67 William S Canning Blvd
Tiverton, RI 028783003
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Location
1524 Atwood Ave Ste 321
Johnston, RI 029193228
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Location
1525 Wampanoag Trl Ste 203
Riverside, RI 029151038
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Location
618 Toll Gate Rd
Warwick, RI 028862717
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Location
851 Main St
Warren, RI 028854402
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Location
102, Valley Road, Wawa, Middletown Township, Delaware County, Pennsylvania, 19063, United States
MIDDLETOWN, RI 028425237
Phone: (401) 239-1800
Fax: (401) 239-1801
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 96 Open Payments records for all available years, with a total value of $2,093.
Total Amount is formed as General ($2,093) + Research ($0) + Ownership ($0) = $2,093.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($432).
Total Amount
$2,093
General + Research + Ownership
Payments
96
Total payment records
General Amount
$2,093
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $432 |
| ABBVIE INC. | $340 |
| Janssen Biotech, Inc. | $257 |
| Dermavant Sciences, Inc. | $185 |
| PFIZER INC. | $171 |
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: 2019-04-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190412001830 | I | Physician Assistant | RI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,377 | 355 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 946 | 612 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 707 | 456 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 378 | 310 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 301 | 221 | $0 |
Insurance plans in this area (ZIP 02878)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| Nurse Practitioner | RI | |
| D E R M A T O L O G Y | RI | |
| Physician Assistant | RI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | RI | |
| Physician Assistant | RI | |
| D E R M A T O L O G Y | RI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology, Dermatology, Micrographic Dermatologic Surgery (Mds) | NV | |
| Physician Assistant | RI | |
| Physician Assistant | RI |
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