Scott M. Fricke, APN-NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0996459 Issued in CO

Practice address

134 F St Ste 209
Salida, CO 81201-2160

Phone

(719) 204-4202

Fax

(877) 483-3146

NPI assigned

Aug 24, 2020

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Male

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

Enrolled in CO

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: balancedmentalwellness.scottfricke@153553.advancedmd-direct.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.

• Balanced Mental Wellness LLC

  • Adult Mental Health Clinic/Center
  • Littleton, CO
  • NPI 1831797844
  Medicare reassignment NPD
• Rooted Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Salida, CO
  • NPI 1699501585
  NPD Authorized official

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1194338806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 F ST STE 209",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012160",
            "telephone_number": "719-204-4202",
            "fax_number": "877-483-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 F ST STE 209",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012160",
            "telephone_number": "719-204-4202",
            "fax_number": "877-483-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKE",
        "first_name": "SCOTT",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "APN-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0996459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kathrine Foster, MS, DPT, CFMT
• Cassondra Lee Franco, RN, BSN, CLC
• Kathryn French, RN
• Michelle Ann French, PHD, DVM, CAC III
• Nicole Freyschlag, MS
• Julia H Fritz, NP
• Lesley Fulton
• Lisa M Gallegos, LMT
• Erika Ann Gelgand, MD
• Jane C Gilden, NP

• Psychiatric/Mental Health Nurse Practitioner in Salida, CO
• Providers in Salida, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.