NICOLE L FREDERICKS OT
NPI 1215034384
Occupational Therapist in Roseville, CA
About Nicole L Fredericks Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE L FREDERICKS OT (NPI 1215034384) is an individual occupational therapist in Roseville, California, licensed in California (OT5986) and active in the NPI registry since September 2006. She is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole L Fredericks Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Fredericks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sutter Valley Medical Foundation
- 3,056 clinicians in this Medicare group
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 6
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicole Fredericks's NPI number?
The NPI number for Nicole Fredericks is 1215034384. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Nicole Fredericks located?
Nicole Fredericks practices at 3 Medical Plaza Dr #100, Roseville, CA 95661. The listed phone number is (916) 781-1157.
What is Nicole Fredericks's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Nicole Fredericks enrolled in Medicare?
Yes. Nicole Fredericks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nicole Fredericks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Fredericks reassigns Medicare benefits to Sutter Medical Foundation (Sacramento, CA). The 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 Nicole Fredericks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Fredericks was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.