Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245913367 Individual Practitioner Female Practitioner

Jordan Frederick , CRNP

Nurse Practitioner • Winfield, AL

Professional Overview & Biography Verified Profile Summary

Jordan Frederick, CRNP is a certified Nurse Practitioner practicing in Winfield, AL. With approximately 3 years of clinical experience since completing medical education in 2023, Jordan Frederick delivers high-quality medical care to the local community at 125 BOB LAWRENCE DR.

Jordan Frederick is affiliated with Farouk A Raquib Md Pc and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

125 Bob Lawrence Dr

Winfield, AL 355940019

Telephone 2054874535
Fax 2054878827
Associated Practice Facility / Clinic
🏢 Farouk A. Raquib, M.d., P.c. Facility NPI 1760531479

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Winfield, AL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs Matches City Avg
City Avg: 3.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Winfield, AL (1475 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Frederick (3 Years) 3 Yrs
Winfield Specialty Average (3.0 Years) 3.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-08-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AL 1155321

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Farouk A Raquib Md Pc

125 Bob Lawrence Dr, Winfield, AL 355940019

Phone: 2054874535

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Christy Romano , CRNP

Nurse Practitioner - Family

NPI 1043695372

Certified Registered Nurse Practitioner

Lauren Haley , FNP-BC

Nurse Practitioner - Family

NPI 1114423936

Family Nurse Practitioner (Board Certified)

Dr. Farouk Raquib , MD

Family Medicine

NPI 1477511194

Doctor of Medicine (M.D.)

Lauren Sanders , CRNP

Nurse Practitioner - Family

NPI 1619674892

Certified Registered Nurse Practitioner

Dr. Jennifer Josey , DC, CRNP

Nurse Practitioner - Family

NPI 1669541843

Doctor of Chiropractic, Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2023

Registered at 125 BOB LAWRENCE DR, WINFIELD, AL 355940019 (Tel: 2054874535)

📍
Updated Business Mailing Address August 08, 2023

Registered at PO BOX 1140, WINFIELD, AL 355941140 (Tel: 2054874535)

👤
Provider Name / Credentials Updated August 08, 2023

Recorded as JORDAN FREDERICK, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2023

Nurse Practitioner (License #1155321 in AL)

🟢
Initial NPI Registration & Enumeration August 08, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245913367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2023
Last Update: August 08, 2023
Sole Proprietor: No

Mailing Address

Po Box 1140

Winfield, AL 355941140

Phone: 2054874535

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.