Jamie L Frederick, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71008389A Issued in IN

Practice address

515 Bayou St
Vincennes, IN 47591-1034

Phone

(812) 886-6800

Fax

(812) 886-6809

NPI assigned

Aug 31, 2018

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 IN

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Samaritan Hospital Physician Services, IncGroup PAC ID 3971671330, 143 clinicians

Good Samaritan Family Health Center IncGroup PAC ID 5294099321, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfrederick121423@direct.deaconess.com
• Direct secure messaging: jfrederick501622@ecommunitydirect.com

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.

• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1174031256
  Medicare reassignment Care Compare group NPD
• Good Samaritan Hospital Physician Services, Inc

  • Hospitalist Physician
  • Vincennes, IN
  • NPI 1649432071
  Medicare reassignment Care Compare group NPD
• Good Samaritan Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, IN
  • NPI 1063302545
  NPD
• Good Samaritan Hospital

  • Rural Health Clinic/Center
  • Vincennes, IN
  • NPI 1760145973
  NPD
• Good Samaritan Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Petersburg, IN
  • NPI 1780392373
  NPD (past)
• Good Samaritan Hospital Physician Services Inc.

  • Radiation Oncology Physician
  • Vincennes, IN
  • NPI 1629050646
  NPD (past)

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

• Good Samaritan Hospital

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Vincennes, IN
  • NPI 1073153474

  Hospital

  Care Compare affiliation
• Good Samaritan Hospital

  • General Acute Care Hospital
  • Vincennes, IN
  • NPI 1225032881
  Care Compare affiliation

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1629550165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475910556",
            "telephone_number": "812-494-9501",
            "fax_number": "812-494-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BAYOU ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911034",
            "telephone_number": "812-886-6800",
            "fax_number": "812-886-6809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911340",
            "country_code": "US",
            "telephone_number": "812-885-6950",
            "fax_number": "812-885-6951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008389A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300019241",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Gerald Fortress, MD
• Grace Elaine Fowler, DO
• Frank Bender LLC
• Amanda Ellen Franklin, FNP-C
• Virginia Mary Franz, PT
• Jennifer Fredrick, RN
• Cathy L Freeman, M.D.
• Emily J Freeman, LCSW
• Friends Home Health Care, Inc
• Stephanie Fuller, FNP-C

• Family Nurse Practitioner in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.