Megan Courtney Fredericks, CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN.CNP.0029207 Issued in OH

Practice address

433 W High St
Bryan, OH 43506-1690

Phone

(419) 636-1131

Fax

(419) 636-3100

NPI assigned

Jul 12, 2021

Last updated

Jan 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, IN2 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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Internal Medicine Associates, PCGroup PAC ID 7113830688, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospitals and Wellness Centers Hospital, Bryan, OH, CCN 360121
• Community Hospitals and Wellness Centers Hospital, Montpelier, OH, CCN 361327
• Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

Merit-based Incentive Payment System (MIPS)

Final score

91.92 of 100Reported as group

Quality

81.41

Promoting interoperability

100

Improvement activities

40

Cost

78.75

Merit-based Incentive Payment System (MIPS)

Final score

85.81 of 100Reported as group

Quality

80.59

Promoting interoperability

100

Improvement activities

40

Cost

72.11

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mfredericks474560@direct.parkviewexchange.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.

• Northeast Internal Medicine Associates, PC

  • Internal Medicine Physician
  • Lagrange, IN
  • NPI 1174518500

  OH

  Medicare reassignment Care Compare group NPD
• Community Hospitals and Wellness Centers

  • General Practice Physician
  • Bryan, OH
  • NPI 1225167893
  Medicare reassignment NPD
• Community Hospitals and Wellness Centers

  • Medicare Defined Swing Bed Hospital Unit
  • Montpelier, OH
  • NPI 1386687218
  NPD
• Northeast Internal Medicine Associates, PC

  • Primary Care Nurse Practitioner
  • Lagrange, IN
  • NPI 1366859779
  NPD (past)

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

• Community Hospitals and Wellness Centers

  • Critical Access Hospital
  • Montpelier, OH
  • NPI 1275575227
  Care Compare affiliation
• Community Hospitals and Wellness Centers

  • General Acute Care Hospital
  • Bryan, OH
  • NPI 1962458521
  Care Compare affiliation
• Parkview Hospital, Inc.

  dba Parkview Regional Medical Center

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1366407603
  Care Compare affiliation

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1528630548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W HIGH ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061690",
            "telephone_number": "419-636-1131",
            "fax_number": "419-636-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W HIGH ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061690",
            "telephone_number": "419-636-1131",
            "fax_number": "419-636-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 E Snyder Ave",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "OH",
            "postal_code": "435431251",
            "country_code": "US",
            "telephone_number": "419-485-3154",
            "fax_number": "419-485-3833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICKS",
        "first_name": "MEGAN",
        "middle_name": "COURTNEY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0029207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fountain Park Riesen Center
• Teri Fraker
• Casey Francoeur, PHARMD
• Tiffany Marie Franks, CNP
• Scott A. Frederick, MD
• Michael L Freeman, LPCC, LICDC
• Fresenius Medical Care Fort Wayne, LLC (Fresenius Medical Care Bryan)
• Victoria Friesen
• Karen S. Gallagher, PT
• Lauren Kimberly Garrett

• Gerontology Nurse Practitioner in Bryan, OH
• Providers in Bryan, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.