SAMANTHA FREDRICKSON PA-C
NPI 1023799939
Family Medicine in Chicago, IL
About Samantha Fredrickson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA FREDRICKSON PA-C (NPI 1023799939) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (085-009579) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Fredrickson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60638
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samantha Fredrickson's NPI number?
The NPI number for Samantha Fredrickson is 1023799939. It was assigned to this individual provider in the NPPES registry on July 25, 2023.
Where is Samantha Fredrickson located?
Samantha Fredrickson practices at 6240 W 55th St, Chicago, IL 60638. The listed phone number is (773) 284-2200.
What is Samantha Fredrickson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samantha Fredrickson enrolled in Medicare?
Yes. Samantha Fredrickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Samantha Fredrickson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Samantha Fredrickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samantha Fredrickson was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samantha Fredrickson, PA-C · NPI 1023799939
Family Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 25, 2023.
## Identity
- **NPI:** 1023799939 (Entity type: Individual)
- **Enumerated:** July 25, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 085-009579 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 6240 W 55TH ST, Chicago, IL 60638-2531
- **Phone:** (773) 284-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023799939) · Data from the CMS NPPES public registry.