JENNIFER S FREDERICKS (MD) – Family Medicine Physician, NPI 1093743163

JENNIFER S FREDERICKS (MD) is a healthcare provider. based in Bartlett, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036106524 (IL). The NPI Number for JENNIFER S FREDERICKS (MD) is 1093743163

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER S FREDERICKS (MD)
NPI
1093743163
Phone
(630) 483-5930
Address
820 S IL ROUTE 59
Enumeration Date
29 June 2006
Last Update Date
4 April 2013

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6304835930
Graduation Year
1999 (27 years ago)
PAC ID
5991993925
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20101217000289
Address ID
IL601031694BA820XX59XX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for JENNIFER S FREDERICKS (MD)

  • Illinois Route 59, Bartlett, Wayne Township, DuPage County, Illinois, 60103, United States

    BARTLETT, IL 601031694

    Phone: (630) 483-5930

    Fax: (630) 483-5939

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Novo Nordisk Inc ($116).

Total Amount

$116

General + Research + Ownership

Payments

1

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$116
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101217000289IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes411195$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit174174$0
99213Established patient office or other outpatient visit, 20-29 minutes10384$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg9812$0
96372Injection of drug or substance under skin or into muscle9612$0
View full utilization report →

Insurance plans in this area (ZIP 60103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

Can I cross-check JENNIFER S FREDERICKS (MD) using NPI 1093743163?
NPI 1093743163 belongs to JENNIFER S FREDERICKS (MD); compare other details if you need extra assurance.
Would JENNIFER S FREDERICKS (MD) appear as active to a payer?
You can treat JENNIFER S FREDERICKS (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JENNIFER S FREDERICKS (MD)'s focus?
For JENNIFER S FREDERICKS (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is JENNIFER S FREDERICKS (MD) registered?
Use Bartlett, Illinois as the headline location for JENNIFER S FREDERICKS (MD) here.
Can I trust this NPI listing for JENNIFER S FREDERICKS (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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