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NEELY RICHARDSON FREDERICK NP-C
NPI 1275924433
Nurse Practitioner - Family in Fairfax, VA

Active since February 10, 2015PECOS Enrolled
4400 UNIVERSITY DR BLDG 1, FAIRFAX, VA 22030(703) 993-2831(703) 993-4365 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2021, Jul 8, 2020 (2 updates tracked since 2020).

About Neely Richardson Frederick Np-c NPPES

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

NEELY RICHARDSON FREDERICK NP-C (NPI 1275924433) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024185660) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275924433
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNEELY RICHARDSON FREDERICKCredential: NP-C
Location Address4400 UNIVERSITY DR BLDG 1Fairfax, VA 22030-4444
Mailing Address4400 University Dr Bldg 1Fairfax, VA 22030-4444 · (703) 993-2831 · Fax (703) 993-4365
Phone(703) 993-2831
Fax(703) 993-4365
Sole ProprietorNo
Enumeration DateFebruary 10, 2015
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1275924433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in VA · 0024185660✔ Licensed in NC · 5007466
Also ListedNurse PractitionerTaxonomy 363L00000X · License LG-0000992 (DE)
4400 UNIVERSITY DR BLDG 1, Fairfax, VA 22030
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Other Names 1

Former Name (1)Neely Richardson Fnp

Secondary Practice Locations 2

Location 1908 E 16th St Ste BWilmington, DE 19802-5145 · Phone (302) 652-2455 · Fax (302) 322-6251
Location 22 Penns Way, Suite 412New Castle, DE 19720 · Phone (302) 652-2455 · Fax (302) 322-6251

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neely Richardson Frederick Np-c 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

2

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

Inova Physician Partners, LLC
7.8 mi
Family Medicine
3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia enrollment
  • 379 clinicians in this Medicare group
NPI 1215264916 (703) 321-2609
Cornerstone Health Care, LLC
216 mi
Ophthalmology
1537 FREEWAY DR, STE 503
Reidsville, NC 27320
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Wake Forest Health Network LLC
  • 583 clinicians in this Medicare group
NPI 1316245202 (336) 342-4771

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims37 services$4.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Neely Frederick's NPI number?

The NPI number for Neely Frederick is 1275924433. It was assigned to this individual provider in the NPPES registry on February 10, 2015. The provider is also known as Neely Richardson Fnp.

Where is Neely Frederick located?

Neely Frederick practices at 4400 University Dr Bldg 1, Fairfax, VA 22030. The listed phone number is (703) 993-2831.

What is Neely Frederick's specialty?

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

Is Neely Frederick enrolled in Medicare?

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

Which organizations bill Medicare for Neely Frederick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neely Frederick reassigns Medicare benefits to 2 organizations: Inova Physician Partners, LLC (Chantilly, VA) and Cornerstone Health Care, LLC (Reidsville, NC). 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 Neely Frederick'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 Neely Frederick was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.