Meredith Claire Frederick, M.D.
Individual provider Active NPI Neurology Physician · Portland, OR
NPI 1215228671 · NPPES record last updated May 20, 2015
Key facts
- NPI
- 1215228671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- MD171898 (OR)
- Practice address
- 3181 SW Sam Jackson Park Road
Ohsu
Portland, OR 97239 - Phone
- (503) 494-8211
- NPI assigned
- Apr 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- University of Colorado School of Medicine, Denver, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Faith Regional Health Services
Unmc Physicians
North Platte Nebraska Hospital Corporation
Practice addresses (Care Compare)
2700 W Norfolk Ave
Faith Health
Norfolk, NE 68701-4438
Phone (402) 371-4880
4242 Farnam St
Suite 650
Omaha, NE 68131-2813
Phone (402) 559-8600
611 W Francis St
200 Great Plains Health Outpatient Services
North Platte, NE 69101-0614
Phone (308) 568-3500
Hospital & facility affiliations
- The Nebraska Medical Center
- Faith Health
- Bellevue Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230629000577 | NE | Practitioner - Neurology | 2264687078 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD171898 | OR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| Faith Regional Health Services | Current |
Accepting new patients | |
| North Platte Nebraska Hospital Corporation | Neurology | Current |
Accepting new patients |
| Faith Regional Health Services | Current |
Accepting new patients | |
| Unmc Physicians | Current |
Accepting new patients | |
| Faith Regional Physician Services, LLC | Neurology | Past | Accepting new patients |
| The Nebraska Medical Center | Past | Accepting new patients |
Locations
2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131
611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
4242 Farnam St
Ste 650
Omaha, NE 68131
Phone (402) 502-8787
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD171898 | OR | Yes |
Addresses
Primary practice location
3181 SW Sam Jackson Park Road
Ohsu
Portland, OR 97239
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Other names
- Meredith Claire Kenfield
Other providers in Portland, OR
- Brent Frederick
- Carrie E. Frederick
- Eric J Frederick
- Julie D. Frederick
- Kate R Frederick
- Nikki Frederick
- Erin Fredericks
- Linda Joyce Thimsen Fredericks
- Melissa Fredette
- Alix Fredrickson
All providers in Portland, OR · Neurology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.