MRS. DEEDRA FREDERICK APRN
NPI 1033618814
Nurse Practitioner - Family in Burlington, KS

Q: What is Deedra Frederick's NPI number?

The NPI number for Deedra Frederick is 1033618814. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Q: What is Deedra Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Deedra Frederick was last updated on February 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 07, 2018PECOS Enrolled

801 N 4TH ST, BURLINGTON, KS 66839(620) 364-2121 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Deedra Frederick Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEEDRA FREDERICK APRN (NPI 1033618814) is an individual family provider in Burlington, Kansas, licensed in Kansas (78058) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033618814

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. DEEDRA FREDERICKCredential: APRN

Location Address801 N 4TH STBurlington, KS 66839-2602

Mailing Address590 Xylan RoadHumboldt, KS 66748 · (620) 605-8084

Phone(620) 364-2121

Sole ProprietorNo

Enumeration DateFebruary 7, 2018

✔ NPI 1033618814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KS · 78058

801 N 4TH ST, Burlington, KS 66839

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Deedra Frederick Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Deedra Frederick reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coffey County Hospital

Same address

Family Medicine

801 N 4TH ST
Burlington, KS 66839

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1376548370 (Kansas)
38 clinicians in this Medicare group

NPI 1508941865 (620) 364-2121

Coffey County Medical Center

Same address

Family Medicine

309 SANDERS ST
Burlington, KS 66839

Reassigned Medicare billing, Kansas enrollment
17 clinicians in this Medicare group

NPI 1760486690 (620) 364-5395

Saint Lukes Hospital Of Garnett Inc

27 mi

Critical Access

421 S MAPLE ST
Garnett, KS 66032

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1073531174 (Kansas)
54 clinicians in this Medicare group

NPI 1316911878 (785) 448-3131

Susan B. Allen Memorial Hospital

66 mi

General Practice

720 W CENTRAL AVE
El Dorado, KS 67042

Reassigned Medicare billing, Kansas enrollment
34 clinicians in this Medicare group

NPI 1013439926 (316) 321-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

28 services28 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

26 services26 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66839 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL L GOODMON CRNA

Nurse Anesthetist, Certified Registered