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JAMIE FREDERICK
NPI 1437706744
Counselor - Professional in Yorkville, IL

Active since August 21, 2019PECOS EnrolledAccepts Medicare Assignment
1581 SYCAMORE RD, YORKVILLE, IL 60560(630) 552-9890 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jamie Frederick NPPES

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

JAMIE FREDERICK (NPI 1437706744) is an individual professional provider in Yorkville, Illinois and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1437706744
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAMIE FREDERICK
Location Address1581 SYCAMORE RDYorkville, IL 60560-1952
Mailing Address1581 Sycamore RdYorkville, IL 60560-1952
Phone(630) 552-9890
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 21, 2019
✔ NPI 1437706744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1581 SYCAMORE RD, Yorkville, IL 60560
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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

Jamie Frederick 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.

PECOS PAC ID4284085333
PECOS Enrollment IDI20240312000921
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 Jamie Frederick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightside Medical, P.A.
1,818 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Brightside Medical PA
  • 50 clinicians in this Medicare group
NPI 1609335660 (415) 360-3348

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

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.

ASHLEY HURST MS,CCC-SLP/L
Speech-Language Pathologist
1581 SYCAMORE RD
YORKVILLE, IL 60560
Kendall County (630) 552-9890
DEBRA ANNETTE JOHNSON OTR/L
Occupational Therapist
1581 SYCAMORE RD
YORKVILLE, IL 60560
Kendall County (630) 552-9890
TAMMY CIENKUS MASCIOLA
Speech-Language Pathologist
1581 SYCAMORE RD
YORKVILLE, IL 60560
Kendall County (630) 552-9890
KARLA WILLETT MS, CCC-SLP/L
Speech-Language Pathologist
1581 SYCAMORE RD
YORKVILLE, IL 60560
Kendall County (630) 552-9890
MS. LAUREN PAVER M.S., CCC-SLP
Speech-Language Pathologist
1581 SYCAMORE RD
YORKVILLE, IL 60560
Kendall County (989) 063-0552

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 Jamie Frederick's NPI number?

The NPI number for Jamie Frederick is 1437706744. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Jamie Frederick located?

Jamie Frederick practices at 1581 Sycamore Rd, Yorkville, IL 60560. The listed phone number is (630) 552-9890.

What is Jamie Frederick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jamie Frederick enrolled in Medicare?

Yes. Jamie Frederick 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 organization bills Medicare for Jamie Frederick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Frederick reassigns Medicare benefits to Brightside Medical, P.A. (San Francisco, CA). 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 Jamie 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 Jamie Frederick was last updated on August 21, 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.