Kristen Kelly Frederiksen, FNP - Medicare Nurse Practitioner in New Berlin, WI

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Kristen Kelly Frederiksen, FNP is a medicare enrolled "Nurse Practitioner" in New Berlin, Wisconsin. Her current practice location is 4779 S Forest Point Blvd, New Berlin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 894-4193.

Kristen Kelly Frederiksen is licensed to practice in Wisconsin (license number 14040-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093409997.

Contact Information

Kristen Kelly Frederiksen, FNP
4779 S Forest Point Blvd,
New Berlin, WI 53151-7476
(262) 894-4193
Not Available

Map and Direction




Provider's Profile

Full NameKristen Kelly Frederiksen
GenderFemale
SpecialityNurse Practitioner
Location4779 S Forest Point Blvd, New Berlin, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093409997
  • Provider Enumeration Date: 06/05/2023
  • Last Update Date: 04/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012360753
  • Enrollment ID: I20240129003530

Medical Identifiers

Medical identifiers for Kristen Kelly Frederiksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093409997NPI-NPPES
100261245MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 14040-33 (Wisconsin)Primary

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. Kristen Kelly Frederiksen allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameAurora Advanced Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Kristen Kelly Frederiksen 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
Kristen Kelly Frederiksen, FNP
4779 S Forest Point Blvd,
New Berlin, WI 53151-7476

Ph: (262) 894-4193		Kristen Kelly Frederiksen, FNP
4779 S Forest Point Blvd,
New Berlin, WI 53151-7476

Ph: (262) 894-4193

Reviews and Comments


Nurse Practitioner Nurses in New Berlin, WI

Mrs. Jennifer Hidalgo Hruz,
Nurse Practitioner
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Practice Location: 2355 S Krahn Rd, New Berlin, WI 53151
Phone: 414-248-3394    
Mr. Dennis J Garvin, APNP
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Practice Location: 12901 W National Ave, New Berlin, WI 53151
Phone: 262-787-5200    
Katherine Ciminelli Waller, APNP
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Medicare: Medicare Enrolled
Practice Location: 4855 S Moorland Rd Fl 3, New Berlin, WI 53151
Phone: 262-432-7599    Fax: 262-432-7694
Ms. Julie Ann Averbeck, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151
Phone: 414-425-5660    Fax: 414-425-9803
Kyla Phu, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14555 W National Ave, New Berlin, WI 53151
Phone: 844-284-0381    
Mrs. Margaret R Salinas, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 14555 W National Ave, New Berlin, WI 53151
Phone: 262-827-2955    

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.