Individual provider Active NPI

Erika Frederking

  • Family Nurse Practitioner
  • Bentonville, AR
National Provider Identifier
1861185399
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224562 Issued in AR
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230703000897 AR Practitioner - Nurse Practitioner 9234598616 Reassigns benefits to 2 organizations

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
Women's Specialty Group, PLLCGroup PAC ID 4880137959, 3 clinicians

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 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Specialty Group, PLLC CurrentSince Jun 3, 2024 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Jul 15, 2023 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

  • Direct secure messaging: erika.frederking.1@2229.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.