Individual provider Active NPI

Frederika Robinson, FNP-BC

  • Family Nurse Practitioner
  • Pontiac, MI
National Provider Identifier
1245588912
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704217559 Issued in MI
Practice address
1051 Arlene Ave
Pontiac, MI 48340-2904
Phone
(248) 451-7365
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704217559 MI Primary

Addresses

Primary practice location

1051 Arlene Ave
Pontiac, MI 48340-2904

Mailing address

1051 Arlene Ave
Pontiac, MI 48340-2904
Phone (248) 451-7365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CT, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130121000160 MI Practitioner - Nurse Practitioner 3476706623 Reassigns benefits to 1 organization
I20251020001402 CT Practitioner - Nurse Practitioner 3476706623 Reassigns benefits to 1 organization
I20251105000900 TX Practitioner - Nurse Practitioner 3476706623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17620 Gateway Cir
Southfield, MI 48075-4718

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

4600 Bohannon Dr
Suite 100
Menlo Park, CA 94025-1037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: frobinson9493@direct-prd.molinahealthcare.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1245588912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 ARLENE AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402904",
            "telephone_number": "248-451-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 ARLENE AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402904",
            "telephone_number": "248-451-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "FREDERIKA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704217559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.