BETHANY FREDERICH CCC-SLP
NPI 1912894007
Speech-Language Pathologist in Caledonia, WI

Q: What is Bethany Frederich's NPI number?

The NPI number for Bethany Frederich is 1912894007. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Q: What is Bethany Frederich's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Frederich was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 20, 2025Accepts Medicare Assignment

5737 ERIE ST, CALEDONIA, WI 53402(609) 802-4806 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bethany Frederich Ccc-slp NPPES

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

BETHANY FREDERICH CCC-SLP (NPI 1912894007) is an individual speech-language pathologist provider in Caledonia, Wisconsin, licensed in Wisconsin (7003-154) and active in the NPI registry since June 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1912894007

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameBETHANY FREDERICHCredential: CCC-SLP

Location Address5737 ERIE STCaledonia, WI 53402-1970

Mailing Address4705 Ruby AveCaledonia, WI 53402-2570

Phone(609) 802-4806

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 20, 2025

NPPES CertifiedJune 20, 2025

✔ NPI 1912894007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in WI · 7003-154

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

5737 ERIE ST, Caledonia, WI 53402

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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

Bethany Frederich Ccc-slp 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 ID1951815596

PECOS Enrollment IDI20250708000074

Other Providers at the Same Location NPPES 3

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

BV/MSTAR CALEDONIA TENANT, LLC

Alzheimer Center (Dementia Center)

5737 ERIE ST
RACINE, WI 53402

Racine County (262) 639-6025

WOODS OF CALEDONIA MEMORY CARE LLC

Assisted Living Facility

5737 ERIE ST
RACINE, WI 53402

Racine County (262) 417-7120

KRYSTYN KELLY HIRSCH DPT

Physical Therapist

5737 ERIE ST
RACINE, WI 53402

Racine County (262) 639-6015

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 Bethany Frederich's NPI number?

The NPI number for Bethany Frederich is 1912894007. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Where is Bethany Frederich located?

Bethany Frederich practices at 5737 Erie St, Caledonia, WI 53402. The listed phone number is (609) 802-4806.

What is Bethany Frederich's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Bethany Frederich enrolled in Medicare?

Yes. Bethany Frederich 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.

When was this NPI record last updated?

The NPPES record for Bethany Frederich was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.