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AMANDA FREDERICK NP
NPI 1922839448
Nurse Practitioner in Gonzales, TX

Active since August 08, 2024PECOS Enrolled
1110 N SARAH DEWITT DR, GONZALES, TX 78629(830) 672-8502(830) 541-5557 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amanda Frederick Np NPPES

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

AMANDA FREDERICK NP (NPI 1922839448) is an individual nurse practitioner in Gonzales, Texas, licensed in Texas (1084549) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922839448
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA FREDERICKCredential: NP
Location Address1110 N SARAH DEWITT DRGonzales, TX 78629-3311
Mailing AddressPo Box 587Gonzales, TX 78629-0587 · (830) 672-9508 · Fax (830) 670-3093
Phone(830) 672-8502
Fax(830) 541-5557
Sole ProprietorNo
Enumeration DateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
✔ NPI 1922839448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1084549
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 785626 (TX)
1110 N SARAH DEWITT DR, Gonzales, TX 78629
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Frederick Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Frederick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gonzales Healthcare Systems
Same address
Rural Health
1110 N SARAH DEWITT DR
Gonzales, TX 78629
  • Reassigned Medicare billing, Texas enrollment
  • 58 clinicians in this Medicare group
NPI 1013916287 (830) 672-7581

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78629 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

GONZALES HEALTHCARE SYSTEMS
Clinic/Center (Rural Health)
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-7581
DR. KATHLEEN MARY KOERNER D.O.
Surgery
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-8502
GONZALES HEALTHCARE SYSTEMS
Medicare Defined Swing Bed Unit
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-7581
KALLI R GLASS DO
Family Medicine
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-8502
DR. WILLIAM E CRAIG MD
Internal Medicine (Cardiovascular Disease)
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-3845
MR. TODD MICHAEL CRAWFORD PHYSICIAN ASST - C
Physician Assistant
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-8502
VICTORIA EMERGENCY PARTNERS LLC
Emergency Medicine
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-7581
DR. SEAN HATTENBACH M.D.
Family Medicine
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-8502

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 Amanda Frederick's NPI number?

The NPI number for Amanda Frederick is 1922839448. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Amanda Frederick located?

Amanda Frederick practices at 1110 N Sarah Dewitt Dr, Gonzales, TX 78629. The listed phone number is (830) 672-8502.

What is Amanda Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Frederick enrolled in Medicare?

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

Which organization bills Medicare for Amanda Frederick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Frederick reassigns Medicare benefits to Gonzales Healthcare Systems (Gonzales, TX). The 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 Amanda Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Frederick was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.