HAILEY ANN FREDRIKSSON PA-C
NPI 1760163661
Physician Assistant in Peoria, AZ

Q: What is Hailey Fredriksson's NPI number?

The NPI number for Hailey Fredriksson is 1760163661. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Q: What is Hailey Fredriksson's specialty?

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

Active since July 25, 2023PECOS Enrolled

13460 N 94TH DR STE J1, PEORIA, AZ 85381(238) 768-8166(623) 298-0168 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2023, Jul 25, 2023 (2 updates tracked since 2023).

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About Hailey Ann Fredriksson Pa-c NPPES

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

HAILEY ANN FREDRIKSSON PA-C (NPI 1760163661) is an individual physician assistant in Peoria, Arizona and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760163661

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHAILEY ANN FREDRIKSSONCredential: PA-C

Location Address13460 N 94TH DR STE J1Peoria, AZ 85381-4264

Mailing Address13460 N 94th Dr Ste J1Peoria, AZ 85381-4264 · (238) 768-8166 · Fax (623) 298-0168

Phone(238) 768-8166

Fax(623) 298-0168

Sole ProprietorNo

Enumeration DateJuly 25, 2023

Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration

NPPES CertifiedOctober 6, 2023

✔ NPI 1760163661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

13460 N 94TH DR STE J1, Peoria, AZ 85381

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona 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 (PECOS)

Hailey Ann Fredriksson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

MOUSTAFA BANNA MD

Internal Medicine (Cardiovascular Disease)