Individual provider Active NPI

Elizabeth Katlyn Frey, PA-C

  • Surgical Physician Assistant
  • Arlington, VA
National Provider Identifier
1891243069
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110005488 Issued in VA
Practice address
1625 N George Mason Dr
Arlington, VA 22205-3683
Phone
(703) 842-4188
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-005488 VA
Surgical Physician Assistant 363AS0400X 0110005488 VA Primary

Addresses

Primary practice location

1625 N George Mason Dr
Arlington, VA 22205-3683

Mailing address

2550 17TH St NW
Apt 416
Washington, DC 20009-3096
Phone (678) 910-7697

Other practice location 1

2550 17th St NW
Apt 416
Washington, DC 20009-3096
Phone (678) 910-7697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170517002309 DC Practitioner - Physician Assistant 0941577217 Reassigns benefits to 5 organizations
I20240411000440 VA Practitioner - Physician Assistant 0941577217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 S Paca St
Box 38
Baltimore, MD 21201-1642

2800 S Shirlington Rd
Suite 600
Arlington, VA 22206-3608

3811 N Fairfax Dr
Suite 1000
Arlington, VA 22203-1782

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

P O Box
Suite 778
Easton, MD 21601-8914

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110-005488VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jan 13, 2023 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 13, 2023 Accepting new patients
Capitol Cardiology Associates, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

1635 N George Mason Dr
Ste 190
Arlington, VA 22205
Phone (703) 521-6662

1635 N George Mason Dr
Ste 430
Arlington, VA 22205
Phone (703) 528-3600

1625 N George Mason Dr
Ste 355
Arlington, VA 22205
Phone (703) 521-6662

1851 N George Mason Dr
Ste 4C
Arlington, VA 22207
Phone (703) 717-4250

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: egiffen74089@direct.virginiahospitalcenter.net

Organizations & group practices 10

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 1

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1891243069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 17TH ST NW",
            "address_2": "APT 416",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093096",
            "telephone_number": "678-910-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053683",
            "telephone_number": "703-842-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 17th St NW",
            "address_2": "Apt 416",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200093096",
            "country_code": "US",
            "telephone_number": "678-910-7697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREY",
        "first_name": "ELIZABETH",
        "middle_name": "KATLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005488",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110005488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.