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JESSICA FREDERICK PMHNP-BC
NPI 1346815396
Nurse Practitioner in Amherst, NY

Active since May 21, 2021PECOS Enrolled
1412 SWEET HOME RD STE 3-5, AMHERST, NY 14228(716) 589-1411 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2021, May 21, 2021 (2 updates tracked since 2021).

About Jessica Frederick Pmhnp-bc NPPES

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

JESSICA FREDERICK PMHNP-BC (NPI 1346815396) is an individual nurse practitioner in Amherst, New York, licensed in New York (403374) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hamburg.

NPPES Registry Identity

NPI1346815396
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA FREDERICKCredential: PMHNP-BC
Location Address1412 SWEET HOME RD STE 3-5Amherst, NY 14228-2795
Mailing Address255 Delaware Ave Ste 300Buffalo, NY 14202-2017 · (716) 842-0440 · Fax (716) 842-4069
Phone(716) 589-1411
Sole ProprietorYes
Enumeration DateMay 21, 2021
Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
✔ NPI 1346815396 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 NY · 403374
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.
1412 SWEET HOME RD STE 3-5, Amherst, NY 14228
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Secondary Practice Location 1

Location 1140 Pine StreetHamburg, NY 14075 · Phone (716) 646-4991 · Fax (716) 646-4990

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Frederick Pmhnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Frederick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bestself Behavioral Health, Inc.
8.0 mi
Mental Health (Including Community Mental Health Center)
951 NIAGARA ST, LOWER WEST SIDE COUNSELING
Buffalo, NY 14213
  • Reassigned Medicare billing, New York enrollment
  • 119 clinicians in this Medicare group
NPI 1023230695 (716) 842-0440

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 14228 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

TAELER CAPRI SHANA VANALLEN RN-BC
Registered Nurse
1412 SWEET HOME RD STE 3-5
AMHERST, NY 14228
Erie County (716) 589-1411
NATALIE CHIODO BSW
Counselor
1412 SWEET HOME RD STE 3-5
AMHERST, NY 14228
Erie County (716) 589-1411
JULIE PRESLER
Counselor (Mental Health)
1412 SWEET HOME RD STE 3-5
AMHERST, NY 14228
Erie County (716) 710-5151
ZIJIN ZHANG
Counselor
1412 SWEET HOME RD STE 3-5
AMHERST, NY 14228
Erie County (716) 589-1411
CHRISTA STARK
Registered Nurse
1412 SWEET HOME RD STE 3-5
AMHERST, NY 14228
Erie County (716) 589-1411
SHANE TYLER PETTIS
Peer Specialist
1412 SWEET HOME RD STE 3-5
AMHERST, NY 14228
Erie County (716) 589-1411
EMILY BRADY
Counselor
1412 SWEET HOME RD STE 3-5
BUFFALO, NY 14228
Erie County (716) 589-1411
NICHOLAS FLAITZ
Case Manager/Care Coordinator
1412 SWEET HOME RD STE 3-5
AMHERST, NY 14228
Erie County (716) 422-2002

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 Jessica Frederick's NPI number?

The NPI number for Jessica Frederick is 1346815396. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Jessica Frederick located?

Jessica Frederick practices at 1412 Sweet Home Rd Ste 3-5, Amherst, NY 14228. The listed phone number is (716) 589-1411.

What is Jessica Frederick's specialty?

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

Is Jessica Frederick enrolled in Medicare?

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

Which organization bills Medicare for Jessica Frederick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Frederick reassigns Medicare benefits to Bestself Behavioral Health, Inc. (Buffalo, NY). 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 Jessica Frederick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Frederick was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.