ALYSSA IRENE FREDBO PA-C
NPI 1376226936
Physician Assistant in Salt Lake City, UT

Active since August 10, 2023PECOS EnrolledAccepts Medicare Assignment
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(651) 323-8334 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2024, Dec 7, 2023, Aug 10, 2023 (3 updates tracked since 2023).

About Alyssa Irene Fredbo Pa-c NPPES

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

ALYSSA IRENE FREDBO PA-C (NPI 1376226936) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (13455633-1206) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Yale University School Of Medicine (2023).

NPPES Registry Identity

NPI1376226936
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA IRENE FREDBOCredential: PA-C
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing Address2100 Park Ave Unit 682858Park City, UT 84068-4615
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2023
Enumeration DateAugust 10, 2023
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1376226936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 13455633-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 13455633-1206 (UT)
50 N MEDICAL DR, Salt Lake City, UT 84132

Other Identifiers 1

Other2018031454UT · Emt

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

Alyssa Irene Fredbo Pa-c 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 ID6204286446
PECOS Enrollment IDI20231229001384
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
57 services32 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
43 services16 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132

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 Alyssa Fredbo's NPI number?

The NPI number for Alyssa Fredbo is 1376226936. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Where is Alyssa Fredbo located?

Alyssa Fredbo practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (651) 323-8334.

What is Alyssa Fredbo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alyssa Fredbo enrolled in Medicare?

Yes. Alyssa Fredbo 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.

Is Alyssa Fredbo affiliated with any hospitals?

According to CMS data, Alyssa Fredbo is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Alyssa Fredbo was last updated on March 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.