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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 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: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Mar 23, 2023, Jul 1, 2019 and 3 more (6 updates tracked since 2017).

About Nancy Fredrick Lcpc NPPES

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

NANCY 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 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 UpdateJuly 14, 20266 updates tracked since enumeration
NPPES CertifiedJuly 14, 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
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Fredrick Lcpc 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 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.

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 DIVENTI LSW
Social Worker
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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nancy Fredrick was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.