TRACEY FREDERICK APRN NPI 1568012896

NPI Information

  • NPI: 1568012896
  • Provider Name: TRACEY FREDERICK, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3602 NORTHGATE CT STE 39
    NEW ALBANY, IN
    ZIP 47150
  • Phone: (812) 670-5684

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NPI Details

Tracey Frederick, APRN is a family nurse practitioner in New Albany, IN with 7 years of experience. Tracey Frederick, APRN NPI is 1568012896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3602 NORTHGATE CT STE 39
NEW ALBANY, IN
ZIP 47150-417
Phone: (812) 670-5684
Fax: (812) 941-0814

The NPI 1568012896 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0481)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0483)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0480)
  • Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional (HCPCS:99484)
  • Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0482)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 9/18/2019 and was last updated on 6/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily3013585KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12061379OTHERKENTUCKYWELLCARE OF KY PROVIDER ID NUMBER
27100625390MEDICAIDKENTUCKY
3000001318458OTHERANTHEM PROVIDER ID NUMBER
4PDZ000000382486OTHERKENTUCKYAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
5300030681MEDICAIDINDIANA
67247386OTHERUNITED HEALTHCARE PROVIDER ID NUMBER
7CS2003600170OTHERCARESOURCE PROVIDER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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