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DENISE JANE FREDERICK CRNA
NPI 1700135670
Nurse Anesthetist, Certified Registered in Atlanta, GA

Active since September 06, 2012
1405 CLIFTON RD NE FL 3, ATLANTA, GA 30322(404) 785-6670(404) 785-1362 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Denise Jane Frederick Crna NPPES

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

DENISE JANE FREDERICK CRNA (NPI 1700135670) is an individual nurse anesthetist, certified registered in Atlanta, Georgia, licensed in Georgia (RN291317) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1700135670
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDENISE JANE FREDERICKCredential: CRNA
Location Address1405 CLIFTON RD NE FL 3Atlanta, GA 30322-1060
Mailing Address1405 Clifton Rd Ne Fl 3Atlanta, GA 30322-1060 · (404) 785-6670 · Fax (404) 785-1362
Phone(404) 785-6670
Fax(404) 785-1362
Sole ProprietorNo
Enumeration DateSeptember 6, 2012
Last NPPES UpdateFebruary 17, 2022
✔ NPI 1700135670 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 GA · RN291317
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.
1405 CLIFTON RD NE FL 3, Atlanta, GA 30322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Jane Frederick Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

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

Children's Anesthesia Services, LLC
2.9 mi
Pediatric Anesthesiology
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 159 clinicians in this Medicare group
NPI 1437203098 (404) 785-6000
Choa Hospital Based, LLC
2.9 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 251 clinicians in this Medicare group
NPI 1457695488 (404) 785-6000
Ispm ASC At Piedmont, LLC
4.4 mi
Ambulatory Surgical
2061 PEACHTREE ROAD, SUITE 225
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Mulkey Anesthesiology Associates, PC
  • 112 clinicians in this Medicare group
NPI 1215275227 (770) 929-9033
Perimeter Anesthesia LLC
32 mi
Anesthesiology
130 E MAIN ST STE 200
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 70 clinicians in this Medicare group
NPI 1922402445 (808) 408-0200

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

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.

MATTHEW LEWIS PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JENNIE NAHODYL PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JESSE FARRIS PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
JENNIFER ANNE TENORIO KETCHAM CRNA
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
KINGSLEY DUNWOODY PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
LAUREN KEISTER PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
SHIVANI MUKKAMALA MD
Anesthesiology
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670
VICTORIA FERNANDEZ PAA
Anesthesiologist Assistant
1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
Dekalb County (404) 785-6670

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 Denise Frederick's NPI number?

The NPI number for Denise Frederick is 1700135670. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Denise Frederick located?

Denise Frederick practices at 1405 Clifton Rd NE Fl 3, Atlanta, GA 30322. The listed phone number is (404) 785-6670.

What is Denise Frederick's specialty?

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

Is Denise Frederick enrolled in Medicare?

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

Which organizations bill Medicare for Denise Frederick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Frederick reassigns Medicare benefits to 4 organizations: Children's Anesthesia Services, LLC (Brookhaven, GA), Choa Hospital Based, LLC (Brookhaven, GA), Ispm ASC At Piedmont, LLC (Atlanta, GA) and Perimeter Anesthesia LLC (Canton, GA). 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 Denise Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Frederick accept?

Health plans from Alliant Health Plans, Inc. list Denise Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denise Frederick was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.