Active NPI
Katelyn Frock
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1861269854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 435 N 5TH St
Phoenix, AZ 85004-2157 - Phone
- (717) 885-7706
- NPI assigned
- Dec 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
435 N 5TH St
Phoenix, AZ 85004-2157
Mailing address
435 N 5TH St
Phoenix, AZ 85004-2157
Phone (717) 885-7706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1910 E Southern Ave
Tempe, AZ 85282-7592
Phone (480) 712-4600
19636 N 27TH Ave
Suite 106
Phoenix, AZ 85027-4014
Phone (480) 712-4600
6060 N Fountain Plaza Dr
Suite 140
Tucson, AZ 85704-7874
Phone (480) 712-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 2
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.
-
- Specialist
- Phoenix, AZ
- NPI 1427421098
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1861269854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N 5TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042157",
"telephone_number": "717-885-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N 5TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042157",
"telephone_number": "717-885-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROCK",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.