Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Frick

Individual provider Anesthesiologist Assistant · NPI 1720776545

Justin Frick is an Anesthesiology Assistant in Liberty, Missouri. Qualified in 2023, 3 years ago. Practices with Professional Anesthetic Care Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone: (816) 781-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 1720776545 (MO)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1720776545
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address12811 Plattsburg Rd, Kearney, MO 64060-8167

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Professional Anesthetic Care Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Liberty