SHELBY FREDRICKS DNP, CPNP-PC
NPI 1417442617
Nurse Practitioner - Pediatrics in Mount Pleasant, MI

Active since June 29, 2018
1205 S MISSION ST STE 4, MOUNT PLEASANT, MI 48858(989) 400-4369 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 5, 2019, Jun 29, 2018 (2 updates tracked since 2018).

About Shelby Fredricks Dnp, Cpnp-pc NPPES

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

SHELBY FREDRICKS DNP, CPNP-PC (NPI 1417442617) is an individual pediatrics provider in Mount Pleasant, Michigan, licensed in Michigan (4704307444) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1417442617
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSHELBY FREDRICKSCredential: DNP, CPNP-PC
Location Address1205 S MISSION ST STE 4Mount Pleasant, MI 48858-3939
Mailing Address1205 S Mission St Ste 4Mount Pleasant, MI 48858-3939
Sole ProprietorNo
Enumeration DateJune 29, 2018
Last NPPES UpdateJuly 5, 20192 updates tracked since enumeration
✔ NPI 1417442617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704307444
1205 S MISSION ST STE 4, Mount Pleasant, MI 48858

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Pediatrics)
1205 S MISSION ST STE 4
MT PLEASANT, MI 48858
Nurse Practitioner (Family)
1205 S MISSION ST STE 4
MOUNT PLEASANT, MI 48858

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 Shelby Fredricks's NPI number?

The NPI number for Shelby Fredricks is 1417442617. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Shelby Fredricks located?

Shelby Fredricks practices at 1205 S Mission St Ste 4, Mount Pleasant, MI 48858. The listed phone number is (989) 400-4369.

What is Shelby Fredricks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Shelby Fredricks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Shelby Fredricks 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 Shelby Fredricks was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.