PAULINE FREDERICK FNP
NPI 1881853463
Nurse Practitioner - Family in Fort Myers, FL

Active since June 09, 2008PECOS Enrolled
12600 CREEKSIDE LN STE 6, FORT MYERS, FL 33919(239) 343-9219(239) 343-9218 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2021, Mar 17, 2018, Aug 4, 2017 and 1 more (4 updates tracked since 2016).

About Pauline Frederick Fnp NPPES

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

PAULINE FREDERICK FNP (NPI 1881853463) is an individual family provider in Fort Myers, Florida, licensed in Florida (ARNP9446475) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1881853463
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAULINE FREDERICKCredential: FNP
Location Address12600 CREEKSIDE LN STE 6Fort Myers, FL 33919-3353
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9219 · Fax (239) 343-9218
Fax(239) 343-9218
Sole ProprietorYes
Enumeration DateJune 9, 2008
Last NPPES UpdateFebruary 28, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
NPI 1881853463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in FL · ARNP9446475 Licensed in NC · 5004371
12600 CREEKSIDE LN STE 6, Fort Myers, FL 33919

Other Names 1

Former Name (1)Pauline Williams Fnp

Secondary Practice Location 1

Location 11703 Country Club Rd Ste 103&104Jacksonville, NC 28546-6008 · Phone (910) 333-0283 · Fax (910) 333-0513

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pauline Frederick Fnp 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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33919 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers12 claims26 services$6.58 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier43 claims43 services$9.67 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier44 claims44 services$44.40 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$3.64 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers24 claims24 services$38.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims20 services$69.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Physician Assistant
12600 CREEKSIDE LN STE 6
FORT MYERS, FL 33919

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 Pauline Frederick's NPI number?

The NPI number for Pauline Frederick is 1881853463. It was assigned to this individual provider in the NPPES registry on June 9, 2008. The provider is also known as Pauline Williams Fnp.

Where is Pauline Frederick located?

Pauline Frederick practices at 12600 Creekside Ln Ste 6, Fort Myers, FL 33919. The listed phone number is (239) 343-9219.

What is Pauline Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pauline Frederick enrolled in Medicare?

Yes. Pauline Frederick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pauline Frederick was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.