Individual provider Active NPI

Erin E Fredrickson, DO, MPH

  • Family Medicine Physician
  • Port Angeles, WA
National Provider Identifier
1629698295
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61323988 Issued in WA
Practice address
240 W Front St Ste a
Port Angeles, WA 98362-2609
Phone
(360) 452-7891
Fax
(360) 452-8087
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP61323988 WA Primary

Addresses

Primary practice location

240 W Front St Ste a
Port Angeles, WA 98362-2609

Mailing address

240 W Front St Ste a
Port Angeles, WA 98362-2609
Phone (360) 452-7891

Other practice location 1

1401 Madison St Ste 100
Seattle, WA 98104-1316
Phone (206) 386-6111

Other identifiers 1

IdentifierTypeStateIssuer
2159628MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20230713001761 WA Practitioner - Family Practice 4082036421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Campbell Univ School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Olympic Healthcare NetworkGroup PAC ID 3779895396, 31 clinicians

Practice addresses (Care Compare)

240 W Front St
Suite a
Port Angeles, WA 98362-2609
Phone (360) 452-7891

Hospital & facility affiliations

  • Olympic Medical Home Health Home health agency, Port Angeles, WA, CCN 507072
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OP61323988WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Olympic Healthcare Network CurrentSince Jul 14, 2024 Accepting new patients
North Olympic Healthcare Network CurrentSince Jul 14, 2024 Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients

Locations

933 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432

240 W Front St
Ste A
Port Angeles, WA 98362
Phone (360) 452-7891

1026 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432

Interoperability endpoints

  • Direct secure messaging: efredrickson1763083@wm.providencedirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1629698295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W FRONT ST STE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622609",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W FRONT ST STE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622609",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Madison St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041316",
            "country_code": "US",
            "telephone_number": "206-386-6111",
            "fax_number": "206-386-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "ERIN",
        "middle_name": "E",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61323988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2159628",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.