SHATERICKA CAMPBELL FREDERICK CRNA
NPI 1386117547
Nurse Anesthetist, Certified Registered in Greenville, SC

Q: What is Shatericka Frederick's NPI number?

The NPI number for Shatericka Frederick is 1386117547. It was assigned to this individual provider in the NPPES registry on January 9, 2019. The provider is also known as Shatericka Campbell.

Q: What is Shatericka Frederick's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since January 09, 2019Accepts Medicare Assignment

7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615(864) 522-3700(864) 522-3705 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2022, Jan 5, 2022, Apr 23, 2021 and 1 more (4 updates tracked since 2019).

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About Shatericka Campbell Frederick Crna NPPES

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

SHATERICKA CAMPBELL FREDERICK CRNA (NPI 1386117547) is an individual nurse anesthetist, certified registered in Greenville, South Carolina, licensed in South Carolina (22521) and active in the NPI registry since January 2019. She is affiliated with Spartanburg Medical Center and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386117547

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSHATERICKA CAMPBELL FREDERICKCredential: CRNA

Location Address7 INDEPENDENCE PT STE 300Greenville, SC 29615-4569

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8614

Phone(864) 522-3700

Fax(864) 522-3705

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 9, 2019

Last NPPES UpdateFebruary 10, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2022

✔ NPI 1386117547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in SC · 22521

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

7 INDEPENDENCE PT STE 300, Greenville, SC 29615

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Other Names 1

Former Name (1)Shatericka Campbell

Other Identifiers 2

MedicaidAN2834SC

OtherQ62798SC · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, First Choice Next, Oscar Health Plan of North Carolina, Inc.Insurance ›

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

Shatericka Campbell Frederick Crna 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 ID1052659695

PECOS Enrollment IDI20190206003032

Medicare Billing Reassignments

Medicare enrollment records show Shatericka Frederick reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health-Upstate

0.8 mi

Sleep Disorder Diagnostic

1025 VERDAE BLVD, SUITE D
Greenville, SC 29607

Reassigned Medicare billing, South Carolina enrollment
413 clinicians in this Medicare group

NPI 1275086431 (864) 455-7743

Spartanburg Regional Med Ctr

1.7 mi

Maternal & Fetal Medicine

373 HALTON RD
Greenville, SC 29607

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Spartanburg Medical Center
Also billed through NPI 1700176054 (South Carolina), NPI 1467407536 (South Carolina)
814 clinicians in this Medicare group

NPI 1922243674 (864) 331-3230

Pelham Medical Center

5.1 mi

Cardiovascular Disease

250 WESTMORELAND RD
Greer, SC 29651

Reassigned Medicare billing, South Carolina enrollment
179 clinicians in this Medicare group

NPI 1962644773 (864) 530-2108

Mission Community Anesthesiology Specialists LLC

37 mi

Pain Medicine

89 HOSPITAL DR STE C
Brevard, NC 28712

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
824 clinicians in this Medicare group

NPI 1598235830 (828) 213-1740

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

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.

Anesthesia for other procedure on upper abdomen 00790

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

PAUL DEREK STREET CRNA

Nurse Anesthetist, Certified Registered