Aeriel Frederick, APRN
Individual provider Active NPI Family Nurse Practitioner · Campton, KY
NPI 1083267553 · NPPES record last updated Jul 23, 2019
Key facts
- NPI
- 1083267553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3013168 (KY)
- Practice address
- 219 Mountain Parkway Spur Rd
Campton, KY 41301-8988 - Phone
- (606) 668-3120
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Clinics of Kentucky LLC
Practice addresses (Care Compare)
633 Prestonsburg St
West Liberty, KY 41472-1143
Phone (606) 347-3477
Hospital & facility affiliations
- Morgan County Arh Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220901001050 | KY | Practitioner - Nurse Practitioner | 1759765241 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013168 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Clinics of Kentucky LLC | Current |
Accepting new patients | |
| United Clinics of Kentucky LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013168 | KY | Yes |
Addresses
Primary practice location
219 Mountain Parkway Spur Rd
Campton, KY 41301-8988
Mailing address
PO Box 220
Campton, KY 41301-0220
Phone (606) 668-3120
Other providers in Campton, KY
- Angela Crase
- Pamela Sue Dale
- Gary L Drake
- East Kentucky Psychiatric Care, LLC
- First Step Provider
- Courtney Jane Hall
- Kaidence Harris
- Ariana Hatton
- Roger D Hicks
- Jackson Hospital Corporation
All providers in Campton, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.