Jeunesse Fredrickson, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

DR0054655 Issued in CO

Practice address

1 Mercado St Ste 105
Durango, CO 81301-7311

Phone

(970) 382-8800

Fax

(970) 382-0122

NPI assigned

Apr 17, 2011

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jeunesse Grenoble Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Colorado School of Medicine, Denver, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Four Corners OB/GYNGroup PAC ID 7416946629, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jeunesse.fredrickson.1@22261.direct.athenahealth.com

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.

• Four Corners OB/GYN

  • Specialist
  • Durango, CO
  • NPI 1861503948
  Medicare reassignment Care Compare group
• Catholic Health Initiatives Colorado

  dba Mercy Hospital

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1083611644
  NPD (past)

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

• Catholic Health Initiatives Colorado

  dba Mercy Hospital

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1083611644
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba MMC DUC Diagnostic Imaging

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1588204010
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Mercy Imaging Center

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1679113104
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Aztec, NM
  • NPI 1770123382
  Care Compare affiliation

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1396035937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 105",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017311",
            "telephone_number": "970-382-8800",
            "fax_number": "970-382-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 105",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017311",
            "telephone_number": "970-382-8800",
            "fax_number": "970-382-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "JEUNESSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-17",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR0054655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEUNESSE",
            "last_name": "GRENOBLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martha Cecile Fraley, MD
• Julie A Frank, LCSW, LAC
• Mia L Frank, LPC
• Joy P Frazer, RN, ND, RM, LM
• Michele Marie Frederick, LCSW
• Anna D Freeman, MA
• Ashley French-Holt
• Deborah Ann French, PT, ATC
• Fresenius Medical Care Dialysis Services Colorado, LLC (Fresenius Kidney Care Durango)
• Fresh Flow Anesthesia PLLC

• Obstetrics & Gynecology Physician in Durango, CO
• Providers in Durango, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.