Jackie Frederick, CRNP - Nurse Practitioner in Columbiana, AL

Jackie Frederick, CRNP is a Nurse Practitioner - Family based in Columbiana, Alabama. Jackie Frederick is licensed to practice in Alabama (license number 1-029953) and her current practice location is 201 Old Highway 25 E, Columbiana, Alabama. She can be reached at her office (for appointments etc.) via phone at (205) 669-4884.

NPI number for Jackie Frederick is 1235190885 and her current mailing address is 110 Indian Forest Trl, Pelham, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235190885.

Contact Information

Jackie Frederick, CRNP
201 Old Highway 25 E,
Columbiana, AL 35051-9373
(205) 669-4884
(205) 669-4883

Map and Direction




Provider's Profile

Full NameJackie Frederick
GenderFemale
SpecialityNurse Practitioner - Family
Location201 Old Highway 25 E, Columbiana, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235190885
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 05/07/2013

Medical Identifiers

Medical identifiers for Jackie Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235190885NPI-NPPES
000060256MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-029953 (Alabama)Primary

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. Jackie Frederick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackie Frederick, CRNP
110 Indian Forest Trl,
Pelham, AL 35124-3706

Ph: (205) 991-8422
Jackie Frederick, CRNP
201 Old Highway 25 E,
Columbiana, AL 35051-9373

Ph: (205) 669-4884

Reviews and Comments


Nurse Practitioner Nurses in Columbiana, AL

Elizabeth Ann Bolen, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Old Highway 25 E, Columbiana, AL 35051
Phone: 205-612-9916    
Mrs. Paige Matheson Hughes, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 201 State Rte 25 Bus, Columbiana, AL 35051
Phone: 205-669-4884    
Mrs. Jana Davis Grier, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22266 Highway 25, Columbiana, AL 35051
Phone: 205-669-3138    
Donna Allen, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 201 Old Highway 25 E, Columbiana, AL 35051
Phone: 205-669-4884    Fax: 205-669-4883
Don Max Thrower, C.R.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 247 Walton St, Columbiana, AL 35051
Phone: 256-362-3636    
Mrs. Sandra King, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22266 Highway 25, Columbiana, AL 35051
Phone: 205-669-3138    

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.