MARY ELIZABETH FREDERICK FNP-BC
NPI 1215341045
Nurse Practitioner - Family in Murfreesboro, TN
About Mary Elizabeth Frederick Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ELIZABETH FREDERICK FNP-BC (NPI 1215341045) is an individual family provider in Murfreesboro, Tennessee, licensed in Tennessee (17268) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Elizabeth Frederick Fnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Frederick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
White House, TN 37188
- Reassigned Medicare billing, Tennessee enrollment
- 341 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MURFREESBORO, TN 37128
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 Mary Frederick's NPI number?
The NPI number for Mary Frederick is 1215341045. It was assigned to this individual provider in the NPPES registry on June 19, 2014. The provider is also known as Mary Elizabeth Dolan.
Where is Mary Frederick located?
Mary Frederick practices at 2449 Old Fort Pkwy, Murfreesboro, TN 37128. The listed phone number is (615) 225-0140.
What is Mary Frederick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Frederick enrolled in Medicare?
Yes. Mary Frederick 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.
Which organization bills Medicare for Mary Frederick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Frederick reassigns Medicare benefits to The Little Clinic Of Tennessee LLC (White House, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Frederick accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mary Frederick 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 Mary Frederick was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mary Elizabeth Frederick, FNP-BC · NPI 1215341045
Family physician in Murfreesboro, Tennessee. Individual provider, active in the CMS NPPES registry since June 19, 2014.
## Identity
- **NPI:** 1215341045 (Entity type: Individual)
- **Enumerated:** June 19, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 17268 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2449 OLD FORT PKWY, Murfreesboro, TN 37128-4162
- **Phone:** (615) 225-0140
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Little Clinic Of Tennessee LLC (NPI 1487848800, White House, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 19, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1215341045) · Data from the CMS NPPES public registry.