Rachel L Frederickson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3263 Issued in CO

Practice address

9348 Grand Cordera Pkwy
160
Colorado Springs, CO 80924-7023

Phone

(719) 355-1585

Fax

(719) 623-2983

NPI assigned

Feb 20, 2006

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

Other names 1

• Rachel L Chappelle Former name

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vanguard Medical Specialists, LLCGroup PAC ID 9436209285, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Merit-based Incentive Payment System (MIPS)

Final score

87.69 of 100Reported as group

Quality

86.72

Promoting interoperability

100

Improvement activities

40

Cost

72.25

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachel.frederickson@direct.vanguardmed.nextgenshare.com

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

• Vanguard Medical Specialists LLC

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1518105253
  Medicare reassignment Care Compare group NPD
• Vanguard Medical Specialists, LLC

  • Dermatology Physician
  • Hugo, CO
  • NPI 1821890351
  NPD
• Vanguard Medical Specialists LLC

  • Dermatology Physician
  • Woodland Park, CO
  • NPI 1558981175
  NPD (past)
• Vanguard Medical Specialists, LLC

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1477326163
  NPD (past)

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

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1346215894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY",
            "address_2": "SUITE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247023",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY",
            "address_2": "160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247023",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKSON",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com",
            "affiliation": "N",
            "address_1": "9348 Grand Cordera Pkwy",
            "address_2": "160",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809247023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "CHAPPELLE",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristine Frederick, NP
• Scott Nathaniel Frederick, DDS
• Tamara Frederick, PA-C
• Theresa Frederick
• Peter Daniel Fredericks, M.D.
• Jack Frederiksen
• Melanie Frederiksen
• Free Ride LLC
• Free Ride of Colorado LLC
• Rebecca Freed, DPT

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.