Individual provider Active NPI

Kristina Frederick, PHYSICIAN ASST

  • Physician Assistant
  • Encinitas, CA
National Provider Identifier
1447311170
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14114 Issued in CA
Practice address
354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone
(760) 230-2251
Fax
(760) 230-2253
NPI assigned
Dec 13, 2006
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14114 CA Primary

Addresses

Primary practice location

354 Santa Fe Dr
Encinitas, CA 92024-5142

Mailing address

PO Box 230760
Encinitas, CA 92023-0760
Phone (760) 230-2251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DC, IL, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050215000808 CA Practitioner - Physician Assistant 6901858224 Reassigns benefits to 3 organizations
I20250916000745 DC Practitioner - Physician Assistant 6901858224 Reassigns benefits to 1 organization
I20251017002865 IL Practitioner - Physician Assistant 6901858224 Reassigns benefits to 1 organization
I20251125003021 FL Practitioner - Physician Assistant 6901858224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 Rodney Ave
Encinitas, CA 92024-2902

3742 W 2150
Suite 150
Lehi, UT 84048-7802

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14114CAMDSpeech-Language Pathologist
PA14114CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Vitalcare Medical Services PA Physician Assistant CurrentSince Nov 19, 2025 Accepting new patients

Locations

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kfrederick42409@scrippshlth.medalliesdirect.net
  • Direct secure messaging: kristina.frederick@398008301912068.direct.elationemr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1447311170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230760",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920230760",
            "telephone_number": "760-230-2251",
            "fax_number": "760-230-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245142",
            "telephone_number": "760-230-2251",
            "fax_number": "760-230-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "KRISTINA",
        "credential": "PHYSICIAN ASST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.