Individual provider Active NPI

Erin Elizabeth Frederick, AGNP

  • Gerontology Nurse Practitioner
  • Plano, TX
National Provider Identifier
1710266705
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1097940 Issued in TX
Practice address
3801 W 15TH St Ste 320
Plano, TX 75075-7767
Phone
(972) 985-8838
Fax
(844) 292-1457
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R147719-5 MN
Gerontology Nurse Practitioner 363LG0600X 1097940 TX Primary

Addresses

Primary practice location

3801 W 15TH St Ste 320
Plano, TX 75075-7767

Mailing address

3801 W 15TH St Ste 320
Plano, TX 75075-7767
Phone (972) 985-8838

Other names 1

  • Erin E Anderson 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
I20221202001615 TX Practitioner - Nurse Practitioner 9931578531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

1820 Preston Park Blvd
Suite 1450
Plano, TX 75093-3691
Phone (972) 964-0363

2020 W Hwy 114
Suite 200
Grapevine, TX 76051-8648
Phone (817) 416-7214

2020 W State Hwy 114 120
Baylor Family Med Ctr Grapevine
Grapevine, TX 76051-8648
Phone (817) 912-8300

3333 Colorado Blvd
Denton, TX 76210-6817
Phone (940) 381-2199

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • The Heart Hospital Baylor Denton Hospital, Denton, TX, CCN 450893
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
75.09
Promoting interoperability
100
Improvement activities
40
Cost
79.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R147719-5MNMDRegistered Nurse
1097940TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Jan 13, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 13, 2025 Accepting new patients
Heartplace, PLLC Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3333 Colorado Blvd
Denton, TX 76210
Phone (940) 381-2199

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: efrederick1158450@direct.sw.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1710266705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 W 15TH ST STE 320",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757767",
            "telephone_number": "972-985-8838",
            "fax_number": "844-292-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W 15TH ST STE 320",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757767",
            "telephone_number": "972-985-8838",
            "fax_number": "844-292-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R147719-5",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1097940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "ANDERSON",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.