KAYLEE JOY FREDRICKSON MD
NPI 1881587772
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Kaylee Fredrickson's NPI number?

The NPI number for Kaylee Fredrickson is 1881587772. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Q: What is Kaylee Fredrickson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 30, 2025PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 446-9822 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kaylee Joy Fredrickson Md NPPES

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

KAYLEE JOY FREDRICKSON MD (NPI 1881587772) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881587772

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKAYLEE JOY FREDRICKSONCredential: MD

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address705 Riley Hospital DrIndianapolis, IN 46202-5109 · (317) 446-9822

Phone(317) 446-9822

Sole ProprietorNo

Enumeration DateMay 30, 2025

NPPES CertifiedMay 30, 2025

✔ NPI 1881587772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylee Joy Fredrickson Md 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.

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)