JAMIE L FREDERICK (FNP-C) – Family Nurse Practitioner, NPI 1629550165
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for JAMIE L FREDERICK (FNP-C)
406 N 1st St
Vincennes, IN 475911340
Phone: (812) 885-6950
Fax: (812) 885-6951
Type: Location
1160, East Saint Clair Street, Vincennes, Knox County, Indiana, 47591, United States
VINCENNES, IN 475914853
Phone: (812) 885-3106
Fax: (812) 885-8499
Type: Mailing
406, North 1st Street, Vincennes, Knox County, Indiana, 47591, United States
VINCENNES, IN 475911340
Phone: (812) 885-6950
Fax: (812) 885-6951
Type: Location
PO BOX 556
VINCENNES, IN 475910556
Phone: (812) 494-9501
Fax: (812) 494-9502
Type: Mailing
515 BAYOU ST
VINCENNES, IN 475911034
Phone: (812) 886-6800
Fax: (812) 886-6809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $334.
Total Amount is formed as General ($334) + Research ($0) + Ownership ($0) = $334.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($72).
Total Amount
$334
General + Research + Ownership
Payments
20
Total payment records
General Amount
$334
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $72 |
| Novo Nordisk Inc | $71 |
| AstraZeneca Pharmaceuticals LP | $44 |
| Mylan Specialty L.P. | $32 |
| Alkermes, Inc. | $28 |
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: 2018-10-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181012001746 | I | Nurse Practitioner | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47591)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| P S Y C H I A T R Y | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN |
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