MRS. MELISSA LYNN FREDERICK (ARNP) – Nurse Practitioner, NPI 1629180690
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
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Provider Addresses for MRS. MELISSA LYNN FREDERICK (ARNP)
PO BOX 607
WEST LIBERTY, KY 414720607
Phone: (606) 743-3114
Fax: (606) 743-1404
Type: Mailing
430, Liberty Road, Liberty, Sonoma County, California, 94952, United States
WEST LIBERTY, KY 41472
Phone: (606) 743-3114
Fax: (606) 743-1404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $158.
Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.
Last reported payment date: 2023-09-26 • Largest payer in this snapshot: PFIZER INC. ($88).
Total Amount
$158
General + Research + Ownership
Payments
5
Total payment records
General Amount
$158
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $88 |
| Novo Nordisk Inc | $57 |
| SANOFI-AVENTIS U.S. LLC | $13 |
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: 2004-12-16
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 |
|---|---|---|---|---|
| I20041216000163 | I | Nurse Practitioner | KY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 37 | 15 | $0 |
| 81002 | Urinalysis, manual test | 35 | 18 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 19 | 15 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 13 | 12 | $0 |
Insurance plans in this area (ZIP 41472)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KY | 85610 | Blood test, clotting time | 67 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | KY | |
| - | MN | |
| Family Practice | KY |
Reviews
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