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JORDAN FREDERICK CRNP
NPI 1245913367
Nurse Practitioner in Winfield, AL

Active since August 08, 2023PECOS Enrolled
125 BOB LAWRENCE DR, WINFIELD, AL 35594(205) 487-4535(205) 487-8827 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jordan Frederick Crnp NPPES

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

JORDAN FREDERICK CRNP (NPI 1245913367) is an individual nurse practitioner in Winfield, Alabama, licensed in Alabama (1155321) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245913367
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJORDAN FREDERICKCredential: CRNP
Location Address125 BOB LAWRENCE DRWinfield, AL 35594-0019
Mailing AddressPo Box 1140Winfield, AL 35594-1140 · (205) 487-4535 · Fax (205) 487-8827
Phone(205) 487-4535
Fax(205) 487-8827
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1245913367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1155321
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
125 BOB LAWRENCE DR, Winfield, AL 35594
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Frederick Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567814528
PECOS Enrollment IDI20240116002223
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jordan Frederick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Farouk A. Raquib, M.D., P.C.
Same address
Family Medicine
125 BOB LAWRENCE DRIVE
Winfield, AL 35594
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Farouk A Raquib MD PC
  • 9 clinicians in this Medicare group
NPI 1760531479 (205) 487-4535
Advantage Family Care Inc
59 mi
Urgent Care
202 COX CREEK PKWY
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 123 clinicians in this Medicare group
NPI 1023447943 (256) 349-5496

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35594 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Jordan Frederick's NPI number?

The NPI number for Jordan Frederick is 1245913367. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Where is Jordan Frederick located?

Jordan Frederick practices at 125 Bob Lawrence Dr, Winfield, AL 35594. The listed phone number is (205) 487-4535.

What is Jordan Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jordan Frederick enrolled in Medicare?

Yes. Jordan Frederick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jordan Frederick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Frederick reassigns Medicare benefits to 2 organizations: Farouk A. Raquib, M.D., P.C. (Winfield, AL) and Advantage Family Care Inc (Florence, AL). Each 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 Jordan Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Frederick accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Jordan 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 Jordan Frederick was last updated on August 8, 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.