FREDERICK LOUIS BARTON FNP
NPI 1255970869
Nurse Practitioner in Roanoke, VA

Active since December 30, 2019PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1525 BLANTON AVE SE, ROANOKE, VA 24014(240) 353-2042 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2026, Dec 11, 2024, Mar 17, 2021 and 3 more (6 updates tracked since 2019).

About Frederick Louis Barton Fnp NPPES

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

FREDERICK LOUIS BARTON FNP (NPI 1255970869) is an individual nurse practitioner in Roanoke, Virginia, licensed in New York (0347021) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Logan Health - Shelby, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255970869
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameFREDERICK LOUIS BARTONCredential: FNP
Location Address1525 BLANTON AVE SERoanoke, VA 24014-5803
Mailing Address1525 Blanton Ave SeRoanoke, VA 24014-5803 · (240) 353-2042
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 30, 2019
Last NPPES UpdateJune 5, 20266 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1255970869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 0347021
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN282379 (GA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License TMP-159931 (KS), 198672 (MT), 10002855 (OR), 0024178830 (VA)
1525 BLANTON AVE SE, Roanoke, VA 24014

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Frederick Louis Barton Fnp 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.

PECOS PAC ID143659326
PECOS Enrollment IDI20230630002411, I20241223002567
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.

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 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.
50 services50 patients
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.
45 services45 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Health - Shelby

Critical Access Hospitals · Shelby, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271328
Location640 Park AveShelby, MT 59474 · Toole County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.29
Promoting Interoperability100
Improvement Activities40

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 Barton's NPI number?

The NPI number for Frederick Barton is 1255970869. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Where is Frederick Barton located?

Frederick Barton practices at 1525 Blanton Ave SE, Roanoke, VA 24014. The listed phone number is (240) 353-2042.

What is Frederick Barton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Frederick Barton enrolled in Medicare?

Yes. Frederick Barton 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.

What insurance does Frederick Barton accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Frederick Barton 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.

Is Frederick Barton affiliated with any hospitals?

According to CMS data, Frederick Barton is affiliated with Logan Health - Shelby.

When was this NPI record last updated?

The NPPES record for Frederick Barton was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.