Marcia Frederic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11029178 Issued in FL

Practice address

671 Winyah Dr
Orlando, FL 32803-1226

Phone

(407) 303-7747

NPI assigned

Oct 13, 2023

Last updated

Oct 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mfrederic44313@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adventist Health System Sunbelt Inc

  dba AdventHealth Primary Care Plus

  • Family Medicine Physician
  • Winter Garden, FL
  • NPI 1427296730
  NPD
• Adventist Health System/Sunbelt, Inc

  dba AdventHealth Total Health Management DBA AdventHealth Primary Care Plus Oviedo

  • Family Medicine Physician
  • Oviedo, FL
  • NPI 1053271114
  NPD
• Adventist Health System/Sunbelt, Inc

  dba AdventHealth Primary Care Plus at Walgreens - Land O lakes

  • Family Medicine Physician
  • Land O' Lakes, FL
  • NPI 1437836947
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1154103216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 WINYAH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 WINYAH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031226",
            "telephone_number": "407-303-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERIC",
        "first_name": "MARCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiara Frazier, M.A., CF-SLP
• Katherine Anne Frazzetta, PA-C
• Lauren Frazzetto
• Fred H Hyer, MD
• Ryan Freda
• Frederick Palacios DDS PA
• Sofia Valentina Frederick-Puente, RBT
• David Julian Frederick
• Erika Frederick, PT, DPT
• Zakia Frederick, APRN

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.