Kelli Jean Frederickson is a Green Bay, Wisconsin based nurse practitioner with 10 years of experience in . She completed her graduation in 2014. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelli Jean Frederickson is 6107-33 in Wisconsin. Her current practice location is 2845 Greenbrier Rd, Green Bay. Patients can reach her at 920-288-8300 or can fax her at 920-288-8305. Kelli Jean Frederickson is NP-C and her NPI number (Unique professional ID assigned by NPPES) is 1659777332. Kelli Jean Frederickson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelli Jean Frederickson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kelli Jean Frederickson
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP-C
Experience:
10+ years
Medical School Attended:
Other
Graduation Year:
2014
Accepts Medicare Assignment:
Yes
Practice Address:
2845 Greenbrier Rd, Green Bay, Wisconsin, 54311-6519
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5799007191
Enrollment ID:
I20141212001230
NPI Number:
1659777332
NPI Enumeration Date:
07 Nov, 2014
NPI Last Update On:
20 Feb, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelli Jean Frederickson are as mentioned below.
License Number
Specialization
State
Status
6107-33
Wisconsin
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(520193)
Green bay, WI
Acute Care Hospital
(520049)
Green bay, WI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kelli Jean Frederickson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Baycare Aurora Llc (0244130557)
169
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelli Jean Frederickson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100041694
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelli Jean Frederickson 164 N Broadway, Green Bay, Wisconsin
Zip:
54303-2728
Patients can reach Kelli Jean Frederickson at 2845 Greenbrier Rd, Green Bay, Wisconsin or can call to book an appointment on 920-288-8300.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.