Individual provider Active NPI

Kaycee Power Frederick, NP

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1457721243
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP129211 Issued in TX
Practice address
4316 James Casey St Ste 200
Austin, TX 78745-1116
Phone
(855) 876-7246
Fax
(855) 277-5070
NPI assigned
Oct 6, 2015
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP129211 TX
Nurse Practitioner 363L00000X AP129211 TX Primary

Addresses

Primary practice location

4316 James Casey St Ste 200
Austin, TX 78745-1116

Mailing address

PO Box 208354
Dallas, TX 75320-8354
Phone (512) 485-7208

Other identifiers 3

IdentifierTypeStateIssuer
456658YYRMOtherTXTEXAS MEDICARE
712986OtherTXTEXAS MEDICARE
AP129211OtherTXTEXAS NURSING PRACTITIONER LICENSE

Other names 1

  • Kaycee Wray Power Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20151203001032 TX Practitioner - Nurse Practitioner 3173823713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Pain Center, PLLCGroup PAC ID 0547233207, 28 clinicians

Practice addresses (Care Compare)

1401 Medical Pkwy
Suite 345
Cedar Park, TX 78613-7763
Phone (512) 953-8137

213 Hunters VLG
New Braunfels, TX 78132-4764
Phone (830) 627-3800

417 S King St
Seguin, TX 78155-5838
Phone (512) 485-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP129211TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Pain Center North, PLLC Nurse Practitioner Past Accepting new patients
Central Texas Pain Institute PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kaycee.frederick@psoa.eclinicaldirectplus.com

Organizations & group practices 3

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1457721243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208354",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208354",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "KAYCEE",
        "middle_name": "POWER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129211",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE",
            "identifier": "456658YYRM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE",
            "identifier": "712986",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS NURSING PRACTITIONER LICENSE",
            "identifier": "AP129211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYCEE",
            "last_name": "POWER",
            "middle_name": "WRAY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.