SARAH ANN FREDRICKSON P.A.
NPI 1639543028
Physician Assistant - Medical in Thornton, CO

Q: What is Sarah Fredrickson's NPI number?

The NPI number for Sarah Fredrickson is 1639543028. It was assigned to this individual provider in the NPPES registry on November 23, 2015.

Q: What is Sarah Fredrickson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Fredrickson was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 23, 2015PECOS EnrolledAccepts Medicare Assignment

8990 WASHINGTON ST, THORNTON, CO 80229(720) 929-1655(720) 565-4129 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2021, Jun 2, 2020, Nov 23, 2015 (3 updates tracked since 2015).

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About Sarah Ann Fredrickson P.a. NPPES

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

SARAH ANN FREDRICKSON P.A. (NPI 1639543028) is an individual medical provider in Thornton, Colorado, licensed in Colorado (PA.0004451) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639543028

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSARAH ANN FREDRICKSONCredential: P.A.

Location Address8990 WASHINGTON STThornton, CO 80229-4537

Mailing Address1735 S Public Rd Ste 203Lafayette, CO 80026-7093 · (303) 665-3036 · Fax (303) 665-3397

Phone(720) 929-1655

Fax(720) 565-4129

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 23, 2015

Last NPPES UpdateMay 17, 20213 updates tracked since enumeration

NPPES CertifiedMay 17, 2021

✔ NPI 1639543028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · PA.0004451

8990 WASHINGTON ST, Thornton, CO 80229

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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

Sarah Ann Fredrickson P.a. 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 ID1850692500

PECOS Enrollment IDI20211203002400

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.

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.

DIANE ASHER NP

Nurse Practitioner