BETH FREDERICK – Psychiatric/Mental Health Nurse Practitioner, NPI 1699371500

BETH FREDERICK is a healthcare provider. based in Terre haute, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 71010646A (IN). The NPI Number for BETH FREDERICK is 1699371500

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BETH FREDERICK
NPI
1699371500
Phone
(812) 231-8323
Address
620 8TH AVE
Enumeration Date
7 December 2020
Last Update Date
13 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122327447
Graduation Year
2020 (6 years ago)
PAC ID
8426463043
Group Practice PAC ID
4880848530
Professional Enrollment ID
I20210212000595
Address ID
IN478071648TE1436XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for BETH FREDERICK

  • 620 8TH AVE

    TERRE HAUTE, IN 478042771

    Phone: (812) 231-8323

    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 25 Open Payments records for all available years, with a total value of $436.

Total Amount is formed as General ($436) + Research ($0) + Ownership ($0) = $436.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($177).

Total Amount

$436

General + Research + Ownership

Payments

25

Total payment records

General Amount

$436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2021-02-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210212000595INurse PractitionerINTBD

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 minutes7916$0
99213Established patient office or other outpatient visit, 20-29 minutes2113$0
View full utilization report →

Insurance plans in this area (ZIP 47804)

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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: 4880848530View full group profile
NameSpecialtyState
Mental Health CounselorIN
Nurse PractitionerIN
-IN
Physician AssistantIN
Internal Medicine, Pediatric MedicineIN
Clinical Social WorkerIN
Physician AssistantIN
-IN

Reviews

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Frequently asked questions

Is BETH FREDERICK listed with a National Provider Identifier?
Yes — BETH FREDERICK has NPI 1699371500 on file in the registry.
Would BETH FREDERICK appear as active to a payer?
You can treat BETH FREDERICK as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for BETH FREDERICK?
At a glance, BETH FREDERICK is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with BETH FREDERICK?
Directory geography for BETH FREDERICK centers on Terre Haute, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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