1. Home
  2. Directory
  3. Colorado
  4. Broomfield
  5. Dietitian Registered
  6. NPI Profile

CASEY L FREDERICK RDN, LD
NPI 1063203271
Dietitian, Registered in Broomfield, CO

Active since May 15, 2025
13630 VIA VARRA APT 223, BROOMFIELD, CO 80020(812) 582-1093 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Casey L Frederick Rdn, Ld NPPES

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

CASEY L FREDERICK RDN, LD (NPI 1063203271) is an individual dietitian, registered in Broomfield, Colorado, licensed in Colorado (86168424) and active in the NPI registry since May 2025. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1063203271
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCASEY L FREDERICKCredential: RDN, LD
Location Address13630 VIA VARRA APT 223Broomfield, CO 80020-9709
Mailing Address13630 Via Varra Apt 223Broomfield, CO 80020-9709
Phone(812) 582-1093
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1063203271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CO · 86168424
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
13630 VIA VARRA APT 223, Broomfield, CO 80020
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey L Frederick Rdn, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931689593
PECOS Enrollment IDI20260213001801

Medicare Billing Reassignments

2

Medicare enrollment records show Casey Frederick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nourish, Inc.
784 mi
Dietitian, Registered
3724 JEFFERSON ST STE 104
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • 487 clinicians in this Medicare group
NPI 1558097824 (512) 693-7045
Strategic Nutrition
970 mi
Dietitian, Registered
5021 TUALATA LN
Lake Oswego, OR 97035
  • Reassigned Medicare billing, Oregon enrollment
  • 44 clinicians in this Medicare group
NPI 1679823108 (503) 974-6454

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Frederick's NPI number?

The NPI number for Casey Frederick is 1063203271. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Casey Frederick located?

Casey Frederick practices at 13630 Via Varra Apt 223, Broomfield, CO 80020. The listed phone number is (812) 582-1093.

What is Casey Frederick's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Casey Frederick enrolled in Medicare?

Yes. Casey Frederick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Casey Frederick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casey Frederick reassigns Medicare benefits to 2 organizations: Nourish, Inc. (Austin, TX) and Strategic Nutrition (Lake Oswego, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casey Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Casey Frederick accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Casey Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Casey Frederick was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.