FREDERICK MEDICAL CLINIC PSC
NPI 1194829812
Clinic/Center - Rural Health in West Liberty, KY
About Frederick Medical Clinic Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDERICK MEDICAL CLINIC PSC (NPI 1194829812) is a healthcare organization registered as a rural health in West Liberty, Kentucky and active in the NPI registry since September 2006. The organization lists James Denzil Frederick, Administration Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Frederick Medical Clinic Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Frederick Medical Clinic Psc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Frederick Medical Clinic Psc's NPI number?
The NPI number for Frederick Medical Clinic Psc is 1194829812. It was assigned to this organization in the NPPES registry on September 12, 2006.
Where is Frederick Medical Clinic Psc located?
Frederick Medical Clinic Psc is located at 430 Liberty Rd, West Liberty, KY 41472. The listed phone number is (606) 743-3114.
What is Frederick Medical Clinic Psc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Frederick Medical Clinic Psc enrolled in Medicare?
Yes. Frederick Medical Clinic Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Frederick Medical Clinic Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Frederick Medical Clinic Psc, in Family Practice, Mental Health Counselor and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Frederick Medical Clinic Psc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Frederick Medical Clinic Psc 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 Frederick Medical Clinic Psc was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Frederick Medical Clinic Psc · NPI 1194829812
Rural Health organization in West Liberty, Kentucky. Organization record, active in the CMS NPPES registry since September 12, 2006.
## Identity
- **NPI:** 1194829812 (Entity type: Organization)
- **Enumerated:** September 12, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** James Frederick, ADMINISTRATION MEDICAL DIRECTOR
## Practice location
- **Address:** 430 LIBERTY RD, West Liberty, KY 41472-2049
- **Phone:** (606) 743-3114 · **Fax:** (606) 743-1404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Mental Health Counselor (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2024
- **Other identifiers:** Medicaid 35002013 (KY); Medicaid 7100150550 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1194829812) · Data from the CMS NPPES public registry.