GLORIA FREDERICKS (CRNP) – Nurse Practitioner, NPI 1386898013

GLORIA FREDERICKS (CRNP) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. SP007210 (PA). The NPI Number for GLORIA FREDERICKS (CRNP) is 1386898013

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
GLORIA FREDERICKS (CRNP)
NPI
1386898013
Phone
(267) 479-4165
Address
207 N BROAD ST
Enumeration Date
7 November 2008
Last Update Date
31 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2154635333
Graduation Year
1986 (40 years ago)
PAC ID
1951450071
Group Practice PAC ID
5294620746
Professional Enrollment ID
I20090520000466
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for GLORIA FREDERICKS (CRNP)

  • 207, North Broad Street, Fashion District Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19121, United States

    3RD FLOOR

    PHILADELPHIA, PA 191071500

    Phone: (267) 479-4165

    Fax: (215) 463-3820

    Type: Mailing

  • West Lancaster Avenue, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19355, United States

    PAOLI MEDICAL BUILDING 3 SUITE 234

    PAOLI, PA 193011763

    Phone: (610) 647-4260

    Fax: (610) 647-7430

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 19107)

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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: 5294620746View full group profile
NameSpecialtyState
-PA
Cardiovascular Disease (Cardiology), Internal MedicinePA
Internal Medicine, Cardiac ElectrophysiologyPA
Nurse PractitionerPA
Internal Medicine, Cardiovascular Disease (Cardiology)PA
Cardiovascular Disease (Cardiology)PA
Cardiovascular Disease (Cardiology), Internal MedicinePA
Cardiovascular Disease (Cardiology)PA
Physician AssistantPA
-PA

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Frequently asked questions

What is the 10-digit NPI for GLORIA FREDERICKS (CRNP)?
GLORIA FREDERICKS (CRNP) — NPI 1386898013 — is the standard way to identify this listing.
Does CMS list GLORIA FREDERICKS (CRNP) as active?
Yes — GLORIA FREDERICKS (CRNP) is active in the NPI listing used on this page.
What is GLORIA FREDERICKS (CRNP)'s specialty?
The listing groups GLORIA FREDERICKS (CRNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for GLORIA FREDERICKS (CRNP)?
GLORIA FREDERICKS (CRNP)'s geographic hint is Philadelphia, Pennsylvania in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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