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MARJORY FREDERIC PMHNP-BC
NPI 1871294447
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since March 13, 2023PECOS Enrolled
5940 S RAINBOW BLVD STE 400, LAS VEGAS, NV 89118(702) 854-6853(702) 758-7315 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2025, Jan 7, 2025, Oct 19, 2023 and 1 more (4 updates tracked since 2023).

About Marjory Frederic Pmhnp-bc NPPES

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

MARJORY FREDERIC PMHNP-BC (NPI 1871294447) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (871409) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1871294447
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARJORY FREDERICCredential: PMHNP-BC
Location Address5940 S RAINBOW BLVD STE 400Las Vegas, NV 89118-2507
Mailing Address5940 S Rainbow Blvd Ste 400Las Vegas, NV 89118-2507 · (702) 854-6853 · Fax (702) 758-7315
Phone(702) 854-6853
Fax(702) 758-7315
Sole ProprietorYes
Enumeration DateMarch 13, 2023
Last NPPES UpdateMay 24, 20254 updates tracked since enumeration
NPPES CertifiedMay 24, 2025
✔ NPI 1871294447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NV · 871409✔ Licensed in CA · 95032219
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License RN78446 (NV)
5940 S RAINBOW BLVD STE 400, Las Vegas, NV 89118
Open in Google Maps ↗

Secondary Practice Location 1

Location 13415 S Sepulveda Blvd Fl 11Los Angeles, CA 90034-6060 · Phone (702) 854-6853 · Fax (702) 758-7315

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marjory Frederic Pmhnp-bc 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 89118 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 7

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

LIVING WATER PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (702) 854-6853
SONGBIRD HEALTH NV LLC
Behavior Analyst
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (702) 891-4875
KATHERINE LYNN CARTER RDN, LD
Dietitian, Registered
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (734) 255-1290
CARLA JENKINS DOULA
Doula
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (773) 317-5177
LINDA AMPOFO LMFT
Marriage & Family Therapist
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (702) 372-2450
MARIAH JEREMIAH MSW, LCSW
Social Worker (Clinical)
5940 S RAINBOW BLVD STE 400, PMB 81116
LAS VEGAS, NV 89118
Clark County (775) 375-5734
KYNAYDIA N NELSON
Counselor (Professional)
5940 S RAINBOW BLVD STE 400
LAS VEGAS, NV 89118
Clark County (702) 527-8032

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 Marjory Frederic's NPI number?

The NPI number for Marjory Frederic is 1871294447. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Marjory Frederic located?

Marjory Frederic practices at 5940 S Rainbow Blvd Ste 400, Las Vegas, NV 89118. The listed phone number is (702) 854-6853.

What is Marjory Frederic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marjory Frederic enrolled in Medicare?

Yes. Marjory Frederic is registered in the Medicare PECOS enrollment system.

What insurance does Marjory Frederic accept?

Health plans from Providence Health Plan list Marjory Frederic 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 Marjory Frederic was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.