Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FREDERICK R FENNIG NP
NPI 1225932585
Nurse Practitioner - Family in Decatur, IN

Q: What is Frederick Fennig's NPI number?

The NPI number for Frederick Fennig is 1225932585. It was assigned to this individual provider in the NPPES registry on October 7, 2026.

Q: What is Frederick Fennig's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Frederick Fennig was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.

Active since October 07, 2026PECOS Enrolled

1401 N 13TH ST STE 200, DECATUR, IN 46733(260) 724-2145(260) 728-3867 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Frederick R Fennig Np NPPES

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

FREDERICK R FENNIG NP (NPI 1225932585) is an individual family provider in Decatur, Indiana, licensed in Indiana (71018787A) and active in the NPI registry since October 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1225932585

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameFREDERICK R FENNIGCredential: NP

Location Address1401 N 13TH ST STE 200Decatur, IN 46733-3139

Mailing Address1100 Mercer AveDecatur, IN 46733-2303 · (260) 724-2145 · Fax (260) 728-3867

Phone(260) 724-2145

Fax(260) 728-3867

Sole ProprietorNo

Enumeration DateOctober 7, 2026

NPPES CertifiedOctober 7, 2026

✔ NPI 1225932585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71018787A

1401 N 13TH ST STE 200, Decatur, IN 46733

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Secondary Practice Location 1

Location 11100 Mercer AveDecatur, IN 46733-2303 · Phone (260) 724-2145 · Fax (260) 728-3867

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frederick R Fennig Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46733 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 11

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

CARISSA ANDERSON MSW

Social Worker