Active NPI
Elsa Ashley Frederic, APRN
- Family Nurse Practitioner
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11005206
- Practice address
- 230 SW 117TH Terrace Unit 103
Pembroke Pines, FL 33025-1054 - Phone
- (786) 718-3813
- NPI assigned
- Feb 1, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Bristol, RI
- NPI 1407483175
AL, CO, CT, DC, FL, IA, IL, IN, MD, MI, NC, NE, NJ, NY, OH, TN, TX, VA, VT
-
- Emergency Medicine Physician
- New York, NY
- NPI 1700558798
CT, FL, MD, NC, NY, OH, PA, TN
-
- Behavioral Neurology & Neuropsychiatry Physician
- New York, NY
- NPI 1114894540
CT, FL, IN, NC, OH, PA
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ivy Medical Group PLLCInfinite Medical PCDaniel Funsch Jr MD PCDr Rebman Medical PALumina Care Medical NJ LLC
Practice addresses (Care Compare)
100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621
101 Walnut St
Neptune, NJ 07753-4301
Phone (718) 534-0689
1010 Carpenters Way
Lakeland, FL 33809-3926
Phone (212) 734-6621
1010 W Main St
Henderson, TX 75652-2923
Phone (718) 534-0689
105 Hospital Dr
Cuero, TX 77954-6400
Phone (718) 534-0689
1100 W Minnesota Rd
Pharr, TX 78577-0163
Phone (718) 534-0689
11041 N 137TH St
Waverly, NE 68462-1022
Phone (212) 734-6621
1108 E Loop
Suite 304
Crockett, TX 75835-1810
Phone (718) 534-0689
1110 Westview Dr
Seymour, TX 76380-3965
Phone (718) 534-0689
1116 E Loop
Suite 304
Crockett, TX 75835-1810
Phone (718) 534-0689
1150 W Dorothy LN
Kettering, OH 45409-1305
Phone (212) 734-6621
11915 27TH Ave
Flushing, NY 11354-1011
Phone (212) 734-6621
1201 Colonel Dr
Garland, TX 75043-1303
Phone (718) 534-0689
1205 Santa Fe Dr
Weatherford, TX 76086-5819
Phone (718) 534-0689
1216 5TH Ave
Youngstown, OH 44504-1605
Phone (718) 534-0689
125 Alma Blvd
Merritt Island, FL 32953-4345
Phone (212) 734-6621
1301 Mesa Dr
Plainview, TX 79072-3905
Phone (718) 534-0689
136 Davis LN
La Follette, TN 37766-3118
Phone (212) 734-6621
13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (212) 734-6621
1415 Hickory St
Melbourne, FL 32901-3225
Phone (212) 734-6621
1419 Mahlman St
Rosenburg, TX 77471-3911
Phone (718) 534-0689
1430 Pasadena Ave S
Saint Petersburg, FL 33707-3716
Phone (212) 734-6621
150 47TH St SE
Paris, TX 75462-7417
Phone (212) 734-6621
1501 Office Park Rd
West Des Moines, IA 50265-2497
Phone (212) 734-6621
15015 Cypress Wood Medical Dr
Houston, TX 77014-1461
Phone (718) 534-0689
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.64 of 100
- Quality
- 76.13
- Improvement activities
- 40
- Cost
- 69.23
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, MD, IA, CO, TN, OH, CT, DC, NE, NC, NY, MI, IN, NJ, IL, PA, VT, VA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 20
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220217000350 | FL | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 8 organizations |
| I20231211002909 | TX | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 2 organizations |
| I20231212003447 | MD | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 2 organizations |
| I20231213002582 | IA | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 2 organizations |
| I20231213003226 | CO | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 2 organizations |
| I20231214001237 | TN | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 2 organizations |
| I20240202000568 | OH | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 4 organizations |
| I20240227001977 | CT | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 4 organizations |
| I20240408000516 | DC | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 1 organization |
| I20240612002018 | NE | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 1 organization |
| I20240625000806 | NC | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 4 organizations |
| I20240719001741 | NY | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 5 organizations |
| I20240731004218 | MI | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 1 organization |
| I20250106002197 | IN | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 3 organizations |
| I20250107001090 | NJ | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 2 organizations |
| I20250107002756 | IL | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 1 organization |
| I20250228001074 | PA | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 4 organizations |
| I20250305000660 | VT | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 1 organization |
| I20260514003635 | VA | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 1 organization |
| I20260615000435 | AL | Practitioner - Nurse Practitioner | 2163815002 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11005206 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Vezza Medical Services PC | Current | Accepting new patients | |
| Sun View Medical Services PA | Current | Accepting new patients | |
| Infinite Medical PC | Current | Accepting new patients | |
| Lumina Care Medical NJ LLC | Current | Accepting new patients | |
| Dr Rebman BH LLC | Current | Accepting new patients | |
| Dr Rebman Medical PA | Current | Accepting new patients | |
| Fast Doc LLC | Current | Accepting new patients | |
| Dr Medical Services PC | Current | Accepting new patients | |
| Daniel Funsch Jr, M.D., P.C. | Current | Accepting new patients | |
| Ivy Medical Group PLLC | Current | Accepting new patients | |
| Fast Lab Technologies LLC | Past | Accepting new patients |
Locations (25 of 37)
1005 E Elizabeth St
Fort Collins, CO 80524
Phone (970) 482-2523
80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300
220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427
633 NE 167th St
Ste 301
North Miami Beach, FL 33162
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
200 Nassau St N
Venice, FL 34285
Phone (305) 397-8417
1501 Office Park Rd
West Des Moines, IA 50265
Phone (515) 223-1223
6840 W Touhy Ave
Niles, IL 60714
Phone (317) 873-7450
343 S Nappanee St
Elkhart, IN 46514
Phone (574) 295-0096
45 Beachway Dr
Indianapolis, IN 46224
Phone (317) 241-0577
1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474
14200 Laurel Park Dr
Laurel, MD 20707
Phone (301) 953-7980
9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600
22580 W Main St
Armada, MI 48005
Phone (586) 784-5322
310 Pensacola Rd
Burnsville, NC 28714
Phone (828) 682-0200
228 Smith Chapel Rd
Mount Olive, NC 28365
Phone (919) 658-9522
318 W 18th St
#1110
Cozad, NE 69130
25 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (201) 647-8035
101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336
418 Broadway
Ste N
Albany, NY 12207
Phone (201) 278-8966
250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173
250 Skillman St
Ste 202
Brooklyn, NY 11205
215 Water St
Brooklyn, NY 11201
Phone (917) 503-9404
11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754
885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990
Interoperability endpoints
- elsa.frederic@339721039314948.direct.elationemr.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11005206 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
230 SW 117TH Terrace Unit 103
Pembroke Pines, FL 33025-1054
Mailing address
230 SW 117TH Terrace Unit 103
Pembroke Pines, FL 33025-1054
Phone (786) 718-3813
Other practice location 1
8513 Island Breeze Ln
Apt. 208
Temple Terrace, FL 33637-1054
Phone (786) 718-3813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 15, 2020.
{
"created_epoch": "1422748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1376933192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 SW 117TH TERRACE UNIT 103",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251054",
"telephone_number": "786-718-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 SW 117TH TERRACE UNIT 103",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251054",
"telephone_number": "786-718-3813"
}
],
"practiceLocations": [
{
"address_1": "8513 Island Breeze Ln",
"address_2": "Apt. 208",
"address_purpose": "LOCATION",
"city": "Temple Terrace",
"state": "FL",
"postal_code": "336371054",
"country_code": "US",
"telephone_number": "786-718-3813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREDERIC",
"first_name": "ELSA",
"middle_name": "ASHLEY",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-01",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11005206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.