Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Melissa A Fredrickson , PA-C

Physician Assistant โ€ข St Augustine, FL

Active NPI 1619245875 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

230 Village Commons Dr
St Augustine, FL 320924545

Call 9049401441 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

230 Village Commons Dr

St Augustine, FL 320924545

Telephone 9049401441
Fax 9043907463
Organization at the Same NPPES Address or Phone
Baptist Primary Care Inc Facility NPI 1497182604

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Baptist Primary Care Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

Medicare patients

489 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $82,557 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $58,271 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

2,532 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$62,920 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $134.59 across 7 records.

By nature of payment

  • Food and Beverage: $134.59 across 7 records.

Reporting-company totals (3 largest of 6)

  • Sumitomo Pharma America, Inc.: $35.24 across 2 records.
  • Eli Lilly and Company: $25.74 across 1 record.
  • Boston Scientific Corporation: $20.35 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Melissa Fredrickson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Melissa Fredrickson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in St Augustine and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: 930. Middle half: 181 to 3,435.

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: $69,023. Middle half: $16,773 to $130,926.

A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: $49,785. Middle half: $12,926 to $95,563.

A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: 677. Middle half: 213 to 1,245.

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: $8,035. Middle half: $2,366 to $44,224.

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.

41 active clinicians are listed under Physician Assistant with a practice address in St Augustine, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

2.4% of these 41 clinicians have the CMS telehealth indicator.

61% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $134.59.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $25.74
Boston Scientific Corporation
Food and Beverage
In-kind items and services
General - Pain Management General $20.35
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
SHINGRIX General $19.34
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $18.45
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $17.62
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $17.62
Ascensia Diabetes Care Us Inc.
Food and Beverage
In-kind items and services
โ€” General $15.47

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
333 258 $224.26 $74.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
319 239 $315.94 $106.11
81003 Automated urinalysis test
78 65 $6.00 $2.17
36415 Insertion of needle into vein for collection of blood sample
57 52 $16.00 $8.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
54 54 $417.11 $140.68
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
43 43 $80.28 $66.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
29 29 $321.31 $108.06
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
28 28 $38.14 $11.91
99495 Transitional care management services for problem of at least moderate complexity
20 19 $506.70 $171.01
99496 Transitional care management services for problem of high complexity
17 16 $681.82 $230.46
96372 Injection of drug or substance under skin or into muscle
16 14 $35.00 $11.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
11 11 $445.91 $149.74

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Azithromycin Azithromycin 80 398 $198.11 76
Amlodipine Besylate Amlodipine Besylate 77 6,510 $375.21 36
Rosuvastatin Calcium Rosuvastatin Calcium 77 6,266 $996.08 33
Atorvastatin Calcium Atorvastatin Calcium 72 6,120 $512.72 35
Fluticasone Propionate Fluticasone Propionate 72 3,000 $720.77 52
Losartan Potassium Losartan Potassium 62 5,290 $693.07 30
Levothyroxine Sodium Levothyroxine Sodium 60 5,410 $569.23 24
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 54 475 $408.63 51
Methylprednisolone Methylprednisolone 51 306 $323.15 48
Lisinopril Lisinopril 43 3,605 $396.25 22
Prednisone Prednisone 42 232 $84.11 42
Montelukast Sodium Montelukast Sodium 39 2,350 $296.65 17
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 38 200 $364.87 31
Gabapentin Gabapentin 37 1,670 $538.29 19
Albuterol Sulfate Hfa Albuterol Sulfate 36 802 $687.20 26
Doxycycline Hyclate Doxycycline Hyclate 32 336 $354.12 31
Tamsulosin Hcl Tamsulosin Hcl 29 2,190 $290.27 14
Omeprazole Omeprazole 23 1,590 $246.04 14
Mounjaro Tirzepatide 23 756 $26,756.59 โ€”
Pantoprazole Sodium Pantoprazole Sodium 22 1,620 $362.67 12
Fluoxetine Hcl Fluoxetine Hcl 22 1,410 $155.10 โ€”
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 22 148 $87.46 20
Eliquis Apixaban 22 1,067 $21,584.50 โ€”
Sertraline Hcl Sertraline Hcl 19 1,170 $64.78 โ€”
Paxlovid Nirmatrelvir/Ritonavir 19 95 $2,858.82 19

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9106223

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20120112000576

Enrollment State Jurisdiction

FL

PECOS Control ID

2668649773

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Baptist Primary Care Inc

230 Village Commons Dr, St Augustine, FL 320924545

Phone: 9049401441

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Traci Bragg , MD

Family Medicine

NPI 1285661736

Doctor of Medicine (M.D.)

Marla Capes , APRN

Nurse Practitioner - Family

NPI 1346644572

Advanced Practice Registered Nurse

Dr. Kye Chong , MD

Family Medicine

NPI 1376736355

Doctor of Medicine (M.D.)

NPI 1477635761

Doctor of Osteopathic Medicine (D.O.)

NPI 1750918272

Doctor of Osteopathic Medicine (D.O.)

Dr. Samantha Kraly , MD

Internal Medicine

NPI 1477507473

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Practice Location September 25, 2023

Registered at 230 VILLAGE COMMONS DR, ST AUGUSTINE, FL 320924545 (Tel: 9049401441)

๐Ÿ“
Updated Practice Location April 14, 2023

Registered at 1029 ATLANTIC BLVD, ATLANTIC BEACH, FL 322333313 (Tel: 9042467520)

๐Ÿ“
Updated Business Mailing Address April 14, 2023

Registered at PO BOX 746638, ATLANTA, GA 303746638 (Tel: 9042021032)

๐Ÿ“
Updated Practice Location February 19, 2021

Registered at 400 COLONNADE DR STE 160, PONTE VEDRA, FL 320816236 (Tel: 9048241020)

๐Ÿ“
Updated Practice Location December 27, 2018

Registered at 98 NOCATEE VILLAGE DR, PONTE VEDRA, FL 320816152 (Tel: 9048241020)

๐Ÿ“
Updated Business Mailing Address December 27, 2018

Registered at PO BOX 45443, SALT LAKE CITY, UT 841450443 (Tel: 9042021032)

โœ…
NPI Profile Active November 19, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 19, 2015

Registered at 2014 UNIVERSITY BLVD W, JACKSONVILLE, FL 322172016 (Tel: 9047339211)

๐Ÿ“
Business Mailing Address (Initial Record) November 19, 2015

Registered at PO BOX 44004, JACKSONVILLE, FL 322314004 (Tel: 9042021032)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 19, 2015

Recorded as MELISSA FREDRICKSON, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2015

Physician Assistant (license number reported to NPPES: FL PA9106223)

๐ŸŸข
Initial NPI Registration & Enumeration December 02, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619245875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2011
Last Update: September 25, 2023
Sole Proprietor: No

Other Physician Assistants in St Augustine

All Physician Assistants in St Augustine

Mailing Address

Po Box 746638

Atlanta, GA 303746638

Phone: 9042021032

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.