Individual provider Active NPI

Tracey O. Fremd, NP

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1801907159
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7175 Issued in CA
Practice address
1 Scripps Dr
Sacramento, CA 95825-6206
Phone
(888) 543-2243
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NP 7175 CA
Women's Health Nurse Practitioner 363LW0102X 7175 CA
Nurse Practitioner 363L00000X 7175 CA Primary

Addresses

Primary practice location

1 Scripps Dr
Sacramento, CA 95825-6206

Mailing address

3921 Archwood Rd
Cameron Park, CA 95682-9015
Phone (916) 220-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050519000514 CA Practitioner - Nurse Practitioner 9032150073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Healthcare of PlacervilleGroup PAC ID 9436202595, 6 clinicians

Practice addresses (Care Compare)

1980 Broadway
Placerville, CA 95667-9001
Phone (530) 622-3536

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7175CAMDOccupational Therapist
NP 7175CAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare of Placerville CurrentSince Mar 30, 2021 Accepting new patients

Locations

1980 Broadway
Placerville, CA 95667
Phone (530) 622-3536

Interoperability endpoints

  • Direct secure messaging: tracey.fremd.p1@direct.apdss.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1801907159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 ARCHWOOD RD",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956829015",
            "telephone_number": "916-220-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCRIPPS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256206",
            "telephone_number": "888-543-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREMD",
        "first_name": "TRACEY",
        "middle_name": "O.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "NP 7175",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "7175",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "7175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.