JACKIE FREDERICK (CRNP) – Family Nurse Practitioner, NPI 1235190885

JACKIE FREDERICK (CRNP) is a healthcare provider. based in Pelham, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-029953 (AL). The NPI Number for JACKIE FREDERICK (CRNP) is 1235190885

Main info

Female
Name
JACKIE FREDERICK (CRNP)
NPI
1235190885
Phone
(205) 991-8422
Address
110 INDIAN FOREST TRL
Enumeration Date
31 March 2006
Last Update Date
7 May 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JACKIE FREDERICK (CRNP)

  • 110 INDIAN FOREST TRL

    PELHAM, AL 351243706

    Phone: (205) 991-8422

    Fax: (205) 669-4883

    Type: Mailing

  • 201, Old Highway 25, Columbiana, Shelby County, Alabama, 35051, United States

    COLUMBIANA, AL 350519373

    Phone: (205) 669-4884

    Fax: (205) 669-4883

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $187.

Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($62).

Total Amount

$187

General + Research + Ownership

Payments

7

Total payment records

General Amount

$187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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.

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 35124)

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Reviews

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Frequently asked questions

Does JACKIE FREDERICK (CRNP) have a public NPI I can cite?
Public records show JACKIE FREDERICK (CRNP) under NPI 1235190885.
Does the public listing show JACKIE FREDERICK (CRNP) as active?
JACKIE FREDERICK (CRNP)'s NPI record reflects an active status in NPPES.
What services align with JACKIE FREDERICK (CRNP)'s listing?
JACKIE FREDERICK (CRNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit JACKIE FREDERICK (CRNP) in Pelham, Alabama?
For routing, start with Pelham, Alabama for JACKIE FREDERICK (CRNP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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