MR. FREDERICK JAMES III NESBIT (ARNP) – Family Nurse Practitioner, NPI 1508477316
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MR. FREDERICK JAMES III NESBIT (ARNP)
2786 FAIRVIEW AVE N
ROSEVILLE, MN 551131306
Phone: (763) 412-1993
Type: Mailing
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 551133905
Phone: (515) 480-7987
Type: Location
500 N VALLEY DR UNIT 804
DES MOINES, IA 503121625
Phone: (515) 480-7987
Type: Mailing
PO BOX 746870
ATLANTA, GA 303746870
Phone: (469) 727-6675
Type: Mailing
2355 Highway 36 W Ste 400
Roseville, MN 551133905
Phone: (763) 412-1993
Type: Location
3100 Tongass Ave
Ketchikan, AK 999015746
Phone: (907) 228-8300
Fax: (907) 228-8440
Type: Location
4841 SE 14th St
Des Moines, IA 503201616
Phone: (515) 415-4081
Type: Location
215 EUCLID AVE
DES MOINES, IA 503134403
Phone: (515) 666-8670
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-05-07
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 |
|---|---|---|---|---|
| I20240507002822 | I | Nurse Practitioner | IA | 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 55113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Internal Medicine, Hospitalist | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IL | |
| Internal Medicine, Family Practice | AR | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Family Practice | IA |
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