MARY VOGEL FREDRICKSON PA-C
NPI 1770070310
Physician Assistant in Grand Rapids, MI

Q: What is Mary Fredrickson's NPI number?

The NPI number for Mary Fredrickson is 1770070310. It was assigned to this individual provider in the NPPES registry on April 19, 2018. The provider is also known as Tran Vogel Tran Pa-C.

Q: What is Mary Fredrickson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Fredrickson was last updated on October 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2018PECOS EnrolledAccepts Medicare Assignment

2750 E BELTLINE AVE NE FL 3, GRAND RAPIDS, MI 49525(616) 447-5820 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2023, Jul 12, 2023, Mar 2, 2021 and 1 more (4 updates tracked since 2018).

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About Mary Vogel Fredrickson Pa-c NPPES

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

MARY VOGEL FREDRICKSON PA-C (NPI 1770070310) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601008498) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of University Of Utah School Of Medicine (2017).

NPPES Registry Identity

NPI1770070310

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY VOGEL FREDRICKSONCredential: PA-C

Location Address2750 E BELTLINE AVE NE FL 3Grand Rapids, MI 49525-8614

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 447-5820

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2017

Enumeration DateApril 19, 2018

Last NPPES UpdateOctober 19, 20234 updates tracked since enumeration

NPPES CertifiedOctober 19, 2023

✔ NPI 1770070310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601008498

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2750 E BELTLINE AVE NE FL 3, Grand Rapids, MI 49525

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Other Names 1

Former Name (1)Tran Vogel Tran Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 and accepts Medicare assignment

Mary Vogel Fredrickson Pa-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 ID4688938277

PECOS Enrollment IDI20180508000230

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.

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 20

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

ELIZABETH COLLETT GLISSON PA

Physician Assistant