NPIMap

Individual provider Active NPI

Meredith Claire Frederick, M.D.

  • Neurology Physician
  • Portland, OR
National Provider Identifier
1215228671
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD171898 Issued in OR
Practice address
3181 SW Sam Jackson Park Road
Ohsu
Portland, OR 97239
Phone
(503) 494-8211
NPI assigned
Apr 20, 2011
Last updated
May 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD171898 OR Primary

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 1

  • Meredith Claire Kenfield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629000577 NE Practitioner - Neurology 2264687078 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 ServicesGroup PAC ID 8921902966, 19 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD171898ORMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Health Services CurrentSince May 12, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Neurology CurrentSince Aug 24, 2023 Accepting new patients
Unmc Physicians CurrentSince Jun 30, 2023 Accepting new patients
Faith Regional Health Services CurrentSince May 12, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation 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

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230

4242 Farnam St
Ste 650
Omaha, NE 68131
Phone (402) 502-8787

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1215228671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK ROAD",
            "address_2": "OHSU",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-494-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "MEREDITH",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD171898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "KENFIELD",
            "middle_name": "CLAIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.