Brea Elise Frost, MS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA169677 Issued in OR

Practice address

2865 Daggett Ave
Klamath Falls, OR 97601-1127

Phone

(541) 274-6311

NPI assigned

Sep 17, 2014

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

Medicare fee-for-service enrollment

Enrolled in OR

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

Master of Science, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brea.frost.1@26673.direct.athenahealth.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.

• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Medicare reassignment NPD
• Oregon Center for Vaginal Excellence Inc.

  dba Heartfelt Obstetrics & Gynecology

  • Obstetrics & Gynecology Physician
  • Klamath Falls, OR
  • NPI 1720397094
  Medicare reassignment
• Center for Vaginal Excellence

  • Non-Surgical Family Planning Clinic/Center
  • Klamath Falls, OR
  • NPI 1780001578
  NPD (past)
• Graham Pediatric Clinic, LLC

  • Pediatrics Physician
  • Klamath Falls, OR
  • NPI 1174250104
  NPD (past)

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1619379013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-274-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011127",
            "telephone_number": "541-274-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "BREA",
        "middle_name": "ELISE",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA169677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friends of the Children of the Klamath Basin
• Amanda Christine Tobey Fries, DNP
• Matthew Earl Fries
• Edward J Frink Jr., MD
• Joseph Anthony Frison Jr.
• Jared R Frost, PA
• Ronald Jay Fruitt
• Renee Frye, CADC, QMHA, CRM, PSS
• Full Circle Healing
• Full Circle Healing

• Medical Physician Assistant in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.