NPIMap

Individual provider Active NPI

Barbara Davenport Frederick, NP-C

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1932516515
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704233662 Issued in MI
Practice address
2332 Alpine Ave NW
Grand Rapids, MI 49544-1955
Phone
(616) 391-6220
NPI assigned
Jul 16, 2014
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 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 4704233662 MI Primary

Addresses

Primary practice location

2332 Alpine Ave NW
Grand Rapids, MI 49544-1955

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX, ME, MT4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140801001225 MI Practitioner - Nurse Practitioner 7315192184 Reassigns benefits to 3 organizations
I20220810002364 TX Practitioner - Nurse Practitioner 7315192184 Reassigns benefits to 1 organization
I20250905001043 ME Practitioner - Nurse Practitioner 7315192184 Reassigns benefits to 1 organization
I20260512002208 MT Practitioner - Nurse Practitioner 7315192184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

236 Yellowstone Ave
West Yellowstone, MT 59758-8946
Phone (406) 646-9441

24 Gardiner St
Richmond, ME 04357-1336
Phone (207) 737-4359

4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 660-9924

42 Dallas Hill Rd
Rangeley, ME 04970-0569

42 Dallas Hill Rd
Rangeley, ME 04970-4032
Phone (207) 864-3303

PO Box
Rangeley, ME 04970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704233662MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center Inc CurrentSince Oct 1, 2017 Accepting new patients
Healthreach Community Health Centers CurrentSince Sep 8, 2025 Accepting new patients
Intercare Community Health Network Current Accepting new patients
Intercare Community Health Network CurrentSince Jul 21, 2014 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 16, 2021 Accepting new patients
Family Health Center Inc CurrentSince Oct 1, 2017 Accepting new patients
Healthreach Community Health Centers CurrentSince Sep 8, 2025 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 16, 2021 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Intercare Community Health Network CurrentSince Jul 21, 2014 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Aug 5, 2024 Accepting new patients
Healthreach Community Health Centers Past Accepting new patients
Haaku Health Past Accepting new patients

Locations

4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924

50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937

1803 M 139
Benton Harbor, MI 49022
Phone (269) 487-3021

800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400

117 W Paterson St
Kalamazoo, MI 49007

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

505 E Alcott St
Kalamazoo, MI 49001
Phone 2693492641 ext. 715

3550 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-2530

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 11

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": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1932516515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 ALPINE AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441955",
            "telephone_number": "616-391-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "BARBARA",
        "middle_name": "DAVENPORT",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704233662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.