JAMIE L FREDERICK FNP-C
NPI 1629550165
Nurse Practitioner - Family in Vincennes, IN

Q: What is Jamie Frederick's NPI number?

The NPI number for Jamie Frederick is 1629550165. It was assigned to this individual provider in the NPPES registry on August 31, 2018.

Q: What is Jamie Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Frederick was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since August 31, 2018PECOS EnrolledAccepts Medicare Assignment

515 BAYOU ST, VINCENNES, IN 47591(812) 886-6800(812) 886-6809 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2022, Sep 25, 2018, Aug 31, 2018 (3 updates tracked since 2018).

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About Jamie L Frederick Fnp-c NPPES

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

JAMIE L FREDERICK FNP-C (NPI 1629550165) is an individual family provider in Vincennes, Indiana, licensed in Indiana (71008389A) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains a secondary practice location in Vincennes.

NPPES Registry Identity

NPI1629550165

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJAMIE L FREDERICKCredential: FNP-C

Location Address515 BAYOU STVincennes, IN 47591-1034

Mailing AddressPo Box 556Vincennes, IN 47591-0556 · (812) 494-9501 · Fax (812) 494-9502

Phone(812) 886-6800

Fax(812) 886-6809

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 31, 2018

Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2026

✔ NPI 1629550165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71008389A

515 BAYOU ST, Vincennes, IN 47591

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Secondary Practice Location 1

Location 1406 N 1st StVincennes, IN 47591-1340 · Phone (812) 885-6950 · Fax (812) 885-6951

Other Identifiers 1

Medicaid300019241IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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 L Frederick Fnp-c 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 ID6305844887

PECOS Enrollment IDI20181012001746

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 Reassignments

Medicare enrollment records show Jamie Frederick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Good Samaritan Family Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

515 BAYOU ST
Vincennes, IN 47591

Reassigned Medicare billing, Indiana enrollment
60 clinicians in this Medicare group

NPI 1518676907 (812) 886-6800

Good Samaritan Hospital Physician Services, Inc

0.1 mi

Nurse Practitioner

429 S 6TH ST
Vincennes, IN 47591

Reassigned Medicare billing, Indiana enrollment
171 clinicians in this Medicare group

NPI 1336576875 (812) 885-8690

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150042

Location520 S 7th StVincennes, IN 47591 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47591 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.

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.

DONNA LOU STOOPS LSW

Social Worker