Tamara Frederick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0006906 Issued in CO

Practice address

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

Phone

(719) 355-1585

NPI assigned

Jul 25, 2008

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

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, 2008

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)

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tamara.frederick.p1@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

  dba Vanguard Skin Specialists

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

  dba Vanguard Skin Specialists

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

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

  dba Vanguard Skin Specialists

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

  • Family Medicine Physician
  • Plainfield, IL
  • NPI 1992992820
  NPD (past)

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1679738025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247023",
            "telephone_number": "719-355-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247023",
            "telephone_number": "719-355-1585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 N Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082166",
            "country_code": "US",
            "telephone_number": "719-543-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "TAMARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com",
            "affiliation": "N",
            "address_1": "9348 Grand Cordera Pkwy Ste 160",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809247023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Frazier, LMT
• Fred M Feinsod, MD, PC
• Caralee Frederic, LCSW
• Kristine Frederick, NP
• Scott Nathaniel Frederick, DDS
• Theresa Frederick
• Peter Daniel Fredericks, M.D.
• Rachel L Frederickson, PA-C
• Jack Frederiksen
• Melanie Frederiksen

• 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 Dec 29, 2021; 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.