ANNELISE FREDERICK
NPI 1750138657
Nurse Practitioner - Pediatrics, Critical Care in Chicago, IL

Q: What is Annelise Frederick's NPI number?

The NPI number for Annelise Frederick is 1750138657. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Q: What is Annelise Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Active since April 30, 2024PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4000 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 12, 2024, Apr 30, 2024 (2 updates tracked since 2024).

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About Annelise Frederick NPPES

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

ANNELISE FREDERICK (NPI 1750138657) is an individual pediatrics, critical care provider in Chicago, Illinois, licensed in Illinois (209030220) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750138657

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameANNELISE FREDERICK

Location Address225 E CHICAGO AVEChicago, IL 60611-2991

Mailing Address225 E Chicago AveChicago, IL 60611-2991

Phone(312) 227-4000

Sole ProprietorYes

Enumeration DateApril 30, 2024

Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1750138657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in IL · 209030220

Also ListedRegistered NurseTaxonomy 163W00000X · License 041497621 (IL)

225 E CHICAGO AVE, Chicago, IL 60611

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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 (PECOS)

Annelise Frederick 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 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics