EMILY MARIA FREDERICKS CPNP
NPI 1447930623
Nurse Practitioner - Pediatrics in Chesterton, IN

Q: What is Emily Fredericks's NPI number?

The NPI number for Emily Fredericks is 1447930623. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Q: What is Emily Fredericks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Fredericks was last updated on July 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 21, 2023PECOS Enrolled

801 BROADWAY, CHESTERTON, IN 46304(219) 763-8112 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Emily Maria Fredericks Cpnp NPPES

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

EMILY MARIA FREDERICKS CPNP (NPI 1447930623) is an individual pediatrics provider in Chesterton, Indiana, licensed in Indiana (71014132A) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1447930623

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameEMILY MARIA FREDERICKSCredential: CPNP

Location Address801 BROADWAYChesterton, IN 46304-2230

Mailing Address6050 Sterling Creek RdPortage, IN 46368-7752 · (219) 763-8112

Phone(219) 763-8112

Sole ProprietorYes

Enumeration DateJuly 21, 2023

NPPES CertifiedJuly 9, 2023

✔ NPI 1447930623 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 IN · 71014132A

801 BROADWAY, Chesterton, IN 46304

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Secondary Practice Location 1

Location 16050 Sterling Creek RdPortage, IN 46368-7752 · Phone (219) 763-8112

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Maria Fredericks Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46304 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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Other Providers at the Same Location NPPES 6

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

MS. BETH LIANE NOEL LMHC, LCAC

Counselor (Mental Health)