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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NANCY M FREDRICK LCPC
NPI 1457774390
Counselor - Professional in Rockford, IL

Active since January 29, 2014PECOS Enrolled
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600(815) 490-1881 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Jul 14, 2026, Mar 23, 2023 and 4 more (7 updates tracked since 2017).

About Nancy M Fredrick Lcpc NPPES

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

NANCY M FREDRICK LCPC (NPI 1457774390) is an individual professional provider in Rockford, Illinois, licensed in Illinois (180010935) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1457774390
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNANCY M FREDRICKCredential: LCPC
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1881
Phone(815) 490-1600
Fax(815) 490-1881
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 29, 2014
Last NPPES UpdateNovember 5, 20267 updates tracked since enumeration
NPPES CertifiedNovember 5, 2026
✔ NPI 1457774390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180010935
1200 W STATE ST, Rockford, IL 61102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare, MercyCare Health Plans, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy M Fredrick Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799137352
PECOS Enrollment IDI20240118003748
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 Nancy Fredrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crusaders Central Clinic Association
Same address
Federally Qualified Health Center (FQHC)
1200 W STATE ST
Rockford, IL 61102
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
NPI 1902972557 (815) 490-1600

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 20

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

CARYN ANN RUZIC APRN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. JOHN WALL MD
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. ADEKOLA ABIOUDUN ASHAYE MD
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. GARY PATRICK FERNANDO MD
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CRISTINA A DIVENTI LCSW
Social Worker (Clinical)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CORNITA CANNON M.D.
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
LAURA D PEREZ CNM, APRN
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
KERIN CUMMINS APN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600

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 Nancy Fredrick's NPI number?

The NPI number for Nancy Fredrick is 1457774390. It was assigned to this individual provider in the NPPES registry on January 29, 2014.

Where is Nancy Fredrick located?

Nancy Fredrick practices at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is Nancy Fredrick's specialty?

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

Is Nancy Fredrick enrolled in Medicare?

Yes. Nancy Fredrick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nancy Fredrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Fredrick reassigns Medicare benefits to Crusaders Central Clinic Association (Rockford, IL). 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 Nancy Fredrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Fredrick accept?

Health plans from MercyCare, MercyCare Health Plans and Oscar Health list Nancy Fredrick 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 Nancy Fredrick was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.