MCKENZIE CHERIE FREDERICK APRN NPI 1629598651

NPI Information

  • NPI: 1629598651
  • Provider Name: MCKENZIE CHERIE FREDERICK, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 701 ANTLER DR STE 209
    CASPER, WY
    ZIP 82601
  • Phone: (307) 209-9636

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NPI Details

Mckenzie Cherie Frederick, APRN is a psychiatric/mental health nurse practitioner in Casper, WY. Mckenzie Cherie Frederick, APRN NPI is 1629598651. 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:

701 ANTLER DR STE 209
CASPER, WY
ZIP 82601-749
Phone: (307) 209-9636
Fax: (307) 459-6805

The NPI 1629598651 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 enumeration date for this NPI number is 6/21/2017 and was last updated on 7/8/2025.

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
1163W00000XRegistered Nurse38068WYOMINGNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health54604WYOMINGYes

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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