KYLA FREDRICKSON MD
NPI 1417452012
Surgery - Surgical Critical Care in Sanford, FL

Q: What is Kyla Fredrickson's NPI number?

The NPI number for Kyla Fredrickson is 1417452012. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Kyla Fredrickson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Kyla Fredrickson was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment

1401 W SEMINOLE BLVD, SANFORD, FL 32771(608) 397-4223 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2024, Mar 26, 2018 (2 updates tracked since 2018).

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About Kyla Fredrickson Md NPPES

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

KYLA FREDRICKSON MD (NPI 1417452012) is an individual surgical critical care provider in Sanford, Florida, licensed in Florida (ME169827) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Deland, and is a graduate of Medical College Of Wisconsin (2018).

NPPES Registry Identity

NPI1417452012

Entity TypeIndividualFemale

Primary Taxonomy2086S0102X

Provider Legal NameKYLA FREDRICKSONCredential: MD

Location Address1401 W SEMINOLE BLVDSanford, FL 32771-6743

Mailing Address8701 W Watertown Plank RdMilwaukee, WI 53226-3548

Phone(608) 397-4223

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2018

Enumeration DateMarch 26, 2018

Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1417452012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in FL · ME169827

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

1401 W SEMINOLE BLVD, Sanford, FL 32771

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Kyla Fredrickson Md 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 ID5991125858

PECOS Enrollment IDI20241023004425

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

38 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Deland

Acute Care Hospitals · Deland, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100045

Location701 W Plymouth AveDeland, FL 32720 · Volusia County

Emergency services

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100161

Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County

Emergency services

Oviedo Medical Center

Acute Care Hospitals · Oviedo, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100329

Location8300 Red Bug Lake RdOviedo, FL 32765 · Seminole County

Emergency services Birthing friendly

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.

ANDREW J COLEMAN MD

Emergency Medicine