Individual provider Active NPI

Fredric L Fredlund, APRN

  • Family Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1619470903
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005568 Issued in AR
Practice address
306 N Chestnut St
Harrison, AR 72601-4453
Phone
(870) 741-8559
Fax
(870) 741-1798
NPI assigned
Mar 13, 2018
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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 A005568 AR Primary

Addresses

Primary practice location

306 N Chestnut St
Harrison, AR 72601-4453

Mailing address

PO Box 1497
Harrison, AR 72602-1497
Phone (870) 741-8559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180412002782 AR Practitioner - Nurse Practitioner 5890058408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 Orendorff Ave
Harrison, AR 72601-4634
Phone (870) 741-6111

1417 Gladden St
Harrison, AR 72601-2236
Phone (870) 741-0016

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc Current Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Sep 1, 2023 Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Sep 1, 2023 Accepting new patients

Locations

115 Orendorff Ave
Harrison, AR 72601
Phone (870) 741-3438

1417 Gladden St
Harrison, AR 72601
Phone (870) 741-0016

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

Interoperability endpoints

  • Direct secure messaging: fredric.fredlund@bhcawp.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1619470903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726021497",
            "telephone_number": "870-741-8559",
            "fax_number": "870-741-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N CHESTNUT ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014453",
            "telephone_number": "870-741-8559",
            "fax_number": "870-741-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDLUND",
        "first_name": "FREDRIC",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.