Melissa Lynn Frederick, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4360P Issued in KY

Practice address

430 Liberty Rd
West Liberty, KY 41472

Phone

(606) 743-3114

Fax

(606) 743-1404

NPI assigned

Aug 31, 2006

Last updated

Mar 9, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frederick Medical Clinic PSCGroup PAC ID 6608055272, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morgan County Arh HHA Home health agency, West Liberty, KY, CCN 187064
• Morgan County Arh Hospital Hospital, West Liberty, KY, CCN 181307
• St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Frederick Medical Clinic PSC

  • Rural Health Clinic/Center
  • West Liberty, KY
  • NPI 1194829812
  Medicare reassignment Care Compare group
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY, Nurse Practitioner

  Medicare reassignment NPD

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

• Appalachian Regional Healthcare, Inc.

  dba Morgan County ARH Hospital

  • Critical Access Hospital
  • West Liberty, KY
  • NPI 1356367270
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba Morgan County Arh Home Health Agency

  • Home Health Agency
  • West Liberty, KY
  • NPI 1538155601
  Care Compare affiliation
• St Claire Medical Center Inc

  dba Cave Run Surgical Specialists

  • Surgery Physician
  • Morehead, KY
  • NPI 1053465666

  Hospital

  Care Compare affiliation
• St Claire Medical Center Inc

  dba St Claire Regional Medical Center

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1124078696
  Care Compare affiliation
• St Claire Medical Center, Inc

  dba St. Claire Family Care Clinic

  • Clinic/Center
  • Morehead, KY
  • NPI 1689012775

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1629180690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414720607",
            "telephone_number": "606-743-3114",
            "fax_number": "606-743-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 LIBERTY RD",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "41472",
            "telephone_number": "606-743-3114",
            "fax_number": "606-743-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4360P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78012606",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Family Practice PLLC
• Crystal Marie Fletcher-Jones, D.O.
• Frederick & Smith Inc (Clinic Pharmacy)
• Frederick Medical Clinic PSC
• James Denzil Frederick, MD
• Kristen Fredricks, DPT
• Kara Fyffe
• Dena Michelle Garrett, CSW
• Gateway District Health Department (Morgan County Health Department)
• Susan Glover

• Nurse Practitioner in West Liberty, KY
• Providers in West Liberty, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.