NPIMap

Individual provider Active NPI

Karla N Frick, MMS,PA-C

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1154308567
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2722 Issued in AZ
Practice address
1635 E Myrtle Ave Ste 400
Phoenix, AZ 85020-5514
Phone
(602) 944-2900
Fax
(602) 944-0064
NPI assigned
Dec 28, 2005
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2722 AZ Primary

Addresses

Primary practice location

1635 E Myrtle Ave Ste 400
Phoenix, AZ 85020-5514

Mailing address

1635 E Myrtle Ave Ste 400
Phoenix, AZ 85020-5514
Phone (602) 944-2900

Other identifiers 1

IdentifierTypeStateIssuer
067553MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karla.frickpac.p1@direct.sciatica.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000924 AZ Practitioner - Physician Assistant 3971572447 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Institute for Spine Care PCGroup PAC ID 1951347475, 13 clinicians
Ortho Elite Performance and Recovery PLLCGroup PAC ID 8527402817, 4 clinicians

Practice addresses (Care Compare)

1635 E Myrtle Ave
Suite 400
Phoenix, AZ 85020-5514
Phone (602) 944-2900

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 923-5000

8575 E Princess Dr
Suite 210
Scottsdale, AZ 85255-5441
Phone (480) 808-3778

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2722AZMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: karla.frick.1@28175.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1154308567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 E MYRTLE AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205514",
            "telephone_number": "602-944-2900",
            "fax_number": "602-944-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 E MYRTLE AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205514",
            "telephone_number": "602-944-2900",
            "fax_number": "602-944-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICK",
        "first_name": "KARLA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MMS,PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067553",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karla.frickpac.p1@direct.sciatica.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1635 E Myrtle Ave Ste 400",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850205514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.