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SUSAN ANTHONY FREDRICKSON R.N., M.S.N., C.S.
NPI 1083818991
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Brewster, MA

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
23-25 BAY STATE COURT, BREWSTER, MA 02631(508) 240-7964(508) 240-5448 Get Directions Write a Review

NPPES record last updated: March 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Anthony Fredrickson R.n., M.s.n., C.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN ANTHONY FREDRICKSON R.N., M.S.N., C.S. (NPI 1083818991) is an individual psychiatric/mental health, adult provider in Brewster, Massachusetts, licensed in Massachusetts (277918) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1083818991
Entity TypeIndividualFemale
Primary Taxonomy364SP0809X
Provider Legal NameSUSAN ANTHONY FREDRICKSONCredential: R.N., M.S.N., C.S.
Location Address23-25 BAY STATE COURTBrewster, MA 02631
Mailing Address23-25 Bay State CourtBrewster, MA 02631 · (508) 240-7964 · Fax (508) 240-5448
Phone(508) 240-7964
Fax(508) 240-5448
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJune 13, 2007
Last NPPES UpdateMarch 1, 2010
✔ NPI 1083818991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0809X
License✔ Licensed in MA · 277918
23-25 BAY STATE COURT, Brewster, MA 02631
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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

Susan Anthony Fredrickson R.n., M.s.n., C.s. 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.

PECOS PAC ID6406939255
PECOS Enrollment IDI20080216000098
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
323 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services26 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
62 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL LEE TAYLOR LICSW
Social Worker (Clinical)
23-25 BAY STATE COURT
BREWSTER, MA 02631
Barnstable County (508) 240-7964

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 Susan Fredrickson's NPI number?

The NPI number for Susan Fredrickson is 1083818991. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Susan Fredrickson located?

Susan Fredrickson practices at 23-25 Bay State Court, Brewster, MA 02631. The listed phone number is (508) 240-7964.

What is Susan Fredrickson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Is Susan Fredrickson enrolled in Medicare?

Yes. Susan 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.

When was this NPI record last updated?

The NPPES record for Susan Fredrickson was last updated on March 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.