STEPHANIE GRACE FREDERICK (CRNP) – Family Nurse Practitioner, NPI 1992216758
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STEPHANIE GRACE FREDERICK (CRNP)
281 N 12th St Ste E
Lehighton, PA 182351101
Phone: (610) 377-6969
Fax: (610) 377-9099
Type: Location
Chew Street, Jordan Heights, Allentown, Lehigh County, Pennsylvania, 18104, United States
ALLENTOWN, PA 181023434
Phone: (610) 776-4767
Fax: (610) 606-4475
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $896.
Total Amount is formed as General ($896) + Research ($0) + Ownership ($0) = $896.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($359).
Total Amount
$896
General + Research + Ownership
Payments
28
Total payment records
General Amount
$896
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $359 |
| IRONSHORE PHARMACEUTICALS INC. | $228 |
| GlaxoSmithKline, LLC. | $67 |
| Corium, LLC | $42 |
| Merck Sharp & Dohme LLC | $39 |
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: 2019-11-18
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20191118000586 | I | Nurse Practitioner | PA | 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 18235)
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