Kelli Jean Frederickson, NP-C - Medicare Nurse Practitioner in Green Bay, WI

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Kelli Jean Frederickson, NP-C is a medicare enrolled "Nurse Practitioner" in Green Bay, Wisconsin. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baycare Aurora Llc and her current practice location is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 288-8300.

Kelli Jean Frederickson is licensed to practice in Wisconsin (license number 6107-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659777332.

Contact Information

Kelli Jean Frederickson, NP-C
2845 Greenbrier Rd,
Green Bay, WI 54311-6519
(920) 288-8300
(920) 288-8305

Map and Direction




Provider's Profile

Full NameKelli Jean Frederickson
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location2845 Greenbrier Rd, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelli Jean Frederickson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1659777332
  • Provider Enumeration Date: 11/07/2014
  • Last Update Date: 02/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5799007191
  • Enrollment ID: I20141212001230

Medical Identifiers

Medical identifiers for Kelli Jean Frederickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659777332NPI-NPPES
100041694MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 6107-33 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Baycare Medical CtrGreen bay, WIHospital
Bay Area Medical CenterMarinette, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baycare Aurora Llc0244130557175

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelli Jean Frederickson allows following entities to bill medicare on her behalf.
Entity NameBaycare Aurora Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387726
PECOS PAC ID: 0244130557
Enrollment ID: O20051012000579

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Jean Frederickson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelli Jean Frederickson, NP-C
164 N Broadway,
Green Bay, WI 54303-2728

Ph: () -		Kelli Jean Frederickson, NP-C
2845 Greenbrier Rd,
Green Bay, WI 54311-6519

Ph: (920) 288-8300

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.