STACY A FREDRICKSON PT, DPT
NPI 1285077941
Physical Therapist in Winfield, IN
About Stacy A Fredrickson Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY A FREDRICKSON PT, DPT (NPI 1285077941) is an individual physical therapist in Winfield, Indiana, licensed in Indiana (05010467A) and active in the NPI registry since April 2013. She maintains 2 additional practice locations and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Secondary Practice Locations 2
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
Stacy A Fredrickson Pt, Dpt 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 Reassignments
2Medicare enrollment records show Stacy Fredrickson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chesterton, IN 46304
- Reassigned Medicare billing, Indiana enrollment
- 15 clinicians in this Medicare group
Peru, IN 46970
- Reassigned Medicare billing, Indiana enrollment
- 113 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 46307 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacy Fredrickson's NPI number?
The NPI number for Stacy Fredrickson is 1285077941. It was assigned to this individual provider in the NPPES registry on April 12, 2013. The provider is also known as Stacy A Orris.
Where is Stacy Fredrickson located?
Stacy Fredrickson practices at 10787 Randolph St Ste 220, Winfield, IN 46307. The listed phone number is (219) 333-5900.
What is Stacy Fredrickson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Stacy Fredrickson enrolled in Medicare?
Yes. Stacy 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.
Which organizations bill Medicare for Stacy Fredrickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Fredrickson reassigns Medicare benefits to 2 organizations: Innovative Physical Therapy LLC (Chesterton, IN) and Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Peru, IN). 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 Stacy Fredrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Fredrickson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Stacy 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 Stacy Fredrickson was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Stacy A Fredrickson, PT, DPT · NPI 1285077941
Physical Therapist provider in Winfield, Indiana. Individual provider, active in the CMS NPPES registry since April 12, 2013.
## Identity
- **NPI:** 1285077941 (Entity type: Individual)
- **Enumerated:** April 12, 2013
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 05010467A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 10787 RANDOLPH ST STE 220, Winfield, IN 46307-7615
- **Phone:** (219) 333-5900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Innovative Physical Therapy LLC (NPI 1578937447, Chesterton, IN); Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (NPI 1750764494, Peru, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285077941) · Data from the CMS NPPES public registry.