JULIEANNE DANIELLE FREDS
NPI 1992279517
Nurse Practitioner - Family in Detroit, MI

Q: What is Julieanne Freds's NPI number?

The NPI number for Julieanne Freds is 1992279517. It was assigned to this individual provider in the NPPES registry on January 16, 2019.

Q: What is Julieanne Freds's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Julieanne Freds was last updated on March 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 January 16, 2019PECOS Enrolled

4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: March 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2025, Mar 11, 2022, Apr 20, 2021 and 1 more (4 updates tracked since 2019).

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About Julieanne Danielle Freds NPPES

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

JULIEANNE DANIELLE FREDS (NPI 1992279517) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704292329) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lincoln Park.

NPPES Registry Identity

NPI1992279517

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJULIEANNE DANIELLE FREDS

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000 · Fax (000) 000-0000

Phone(313) 576-1000

Sole ProprietorYes

Enumeration DateJanuary 16, 2019

Last NPPES UpdateMarch 16, 20254 updates tracked since enumeration

NPPES CertifiedMarch 16, 2025

✔ NPI 1992279517 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 MI · 4704292329✔ Licensed in MO · F01190058✔ Licensed in MO · 2010039959

4646 JOHN R ST, Detroit, MI 48201

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Secondary Practice Location 1

Location 1518 Capitol AveLincoln Park, MI 48146-3022 · Phone (314) 723-1068

Other Identifiers 2

OtherF01190058MO · Rn License #: 2010039959

Other4704292329MI · Family Nurse Practitioner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julieanne Danielle Freds 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 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 20

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

DR. YURIJ CHERSTYLO

Student in an Organized Health Care Education/Training Program