CAMILLE FREDE PA
NPI 1902513518
Physician Assistant - Surgical in Longmont, CO

Active since November 02, 2022PECOS Enrolled
1551 PROFESSIONAL LN, LONGMONT, CO 80501(720) 848-0000 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 12, 2023, Nov 2, 2022 (2 updates tracked since 2022).

About Camille Frede Pa NPPES

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

CAMILLE FREDE PA (NPI 1902513518) is an individual surgical provider in Longmont, Colorado, licensed in Colorado (PA.0007533) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902513518
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCAMILLE FREDECredential: PA
Location Address1551 PROFESSIONAL LNLongmont, CO 80501-6972
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 2, 2022
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
NPI 1902513518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CO · PA.0007533
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0007533 (CO)
1551 PROFESSIONAL LN, Longmont, CO 80501

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

Accepted 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)

Camille Frede Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123499415
PECOS Enrollment IDI20260803001794
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.

Nurse Practitioner
1551 PROFESSIONAL LN, SUITE 200
LONGMONT, CO 80501
Advanced Practice Midwife
1551 PROFESSIONAL LN
LONGMONT, CO 80501
Physical Therapist
1551 PROFESSIONAL LN, #145
LONGMONT, CO 80501
Dermatology
1551 PROFESSIONAL LN, SUITE 135
LONGMONT, CO 80501
Physical Therapist
1551 PROFESSIONAL LN, #145
LONGMONT, CO 80501
Physical Therapist
1551 PROFESSIONAL LN, #145
LONGMONT, CO 80501
Dermatology
1551 PROFESSIONAL LN, SUITE 135
LONGMONT, CO 80501
Anesthesiology
1551 PROFESSIONAL LN, SUITE 100
LONGMONT, CO 80501

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 Camille Frede's NPI number?

The NPI number for Camille Frede is 1902513518. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Where is Camille Frede located?

Camille Frede practices at 1551 Professional Ln, Longmont, CO 80501. The listed phone number is (720) 848-0000.

What is Camille Frede's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Camille Frede enrolled in Medicare?

Yes. Camille Frede is registered in the Medicare PECOS enrollment system.

What insurance does Camille Frede accept?

Health plans from Medica list Camille Frede 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 Camille Frede was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.