Active NPI
Erika Frederking
- Family Nurse Practitioner
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 224562
- Practice address
- 2900 Medical Center Pkwy Ste 380
Bentonville, AR 72712-3214 - Phone
- (757) 218-6367
- NPI assigned
- May 31, 2023
- Last updated
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 224562 | AR | Primary |
Addresses
Primary practice location
2900 Medical Center Pkwy Ste 380
Bentonville, AR 72712-3214
Mailing address
1421 Abbey LN
Centerton, AR 72719-6501
Phone (757) 218-6367
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erika.frederking.1@2229.direct.athenahealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Medical Ctr Pkwy
Suite 380
Bentonville, AR 72712-3305
Phone (479) 553-3340
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.5 of 100
- Quality
- 69.34
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Specialty Group, PLLC | Current | Accepting new patients | |
| Northwest Benton County Physician Services LLC | Current | Accepting new patients |
Locations
2900 Medical Center Pkwy
Ste 380
Bentonville, AR 72712
Phone (479) 553-3340
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
Interoperability endpoints
- erika.frederking.1@2229.direct.athenahealth.com
- erika.frederking.1@30995.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Bentonville, AR
- NPI 1508626359
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1861185399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 ABBEY LN",
"city": "CENTERTON",
"state": "AR",
"postal_code": "727196501",
"telephone_number": "757-218-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 MEDICAL CENTER PKWY STE 380",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123214",
"telephone_number": "757-218-6367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERKING",
"first_name": "ERIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "224562",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erika.frederking.1@2229.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "2900 Medical Center Pkwy Ste 380",
"city": "Bentonville",
"state": "AR",
"country_code": "US",
"postal_code": "727123214",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.