MARY E FREDERICKS (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1306188032
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MARY E FREDERICKS (ARNP)
PO BOX 3360
PORTLAND, OR 972083360
Phone:
Type: Mailing
413 LILLY RD NE
PMG SW WA OLYMPIA PSYCHIATRY
OLYMPIA, WA 985065133
Phone: (360) 493-7060
Fax: (360) 493-7562
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.
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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: 2015-01-12
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 |
|---|---|---|---|---|
| I20150112001030 | I | Nurse Practitioner | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 179 | 26 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 49 | 20 | $0 |
Insurance plans in this area (ZIP 97208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | WA | |
| H E M A T O L O G Y/ O N C O L O G Y | WA | |
| Gynecological Oncology, Obstetrics/Gynecology | CA | |
| - | OR | |
| Certified Nurse Midwife (Cnm) | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| - | WA | |
| Physician Assistant | WA | |
| - | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA |
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