RUSSELL J FREDRICKSON MD
NPI 1881685261
Family Medicine in North Fond Du Lac, WI
About Russell J Fredrickson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSSELL J FREDRICKSON MD (NPI 1881685261) is an individual family medicine provider in North Fond Du Lac, Wisconsin, licensed in Wisconsin (44683) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of University Of Wisconsin School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Russell J Fredrickson Md 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIRipon Medical Center
Critical Access Hospitals · Ripon, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54937 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
N FOND DU LAC, WI 54937
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 Russell Fredrickson's NPI number?
The NPI number for Russell Fredrickson is 1881685261. It was assigned to this individual provider in the NPPES registry on November 3, 2005.
Where is Russell Fredrickson located?
Russell Fredrickson practices at 723 Park Ridge Ln, North Fond Du Lac, WI 54937. The listed phone number is (920) 926-8600.
What is Russell Fredrickson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Russell Fredrickson enrolled in Medicare?
Yes. Russell Fredrickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Russell Fredrickson accept?
Health plans from Network Health and Quartz list Russell Fredrickson 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.
Is Russell Fredrickson affiliated with any hospitals?
According to CMS data, Russell Fredrickson is affiliated with St. Agnes Hospital Hospice and Ripon Medical Center.
When was this NPI record last updated?
The NPPES record for Russell Fredrickson was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Russell J Fredrickson, MD · NPI 1881685261
Family Medicine physician in North Fond Du Lac, Wisconsin. Individual provider, active in the CMS NPPES registry since November 3, 2005.
## Identity
- **NPI:** 1881685261 (Entity type: Individual)
- **Enumerated:** November 3, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 44683 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 723 PARK RIDGE LN, North Fond Du Lac, WI 54937-1385
- **Phone:** (920) 926-8600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** December 10, 2020
- **Other identifiers:** Other P00140682 (WI); Medicaid 34301400 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1881685261) · Data from the CMS NPPES public registry.