Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174528053 Individual Practitioner Male Practitioner

Douglas E Frederick , ARNP

Nurse Practitioner • Wichita, KS

Professional Overview & Biography Verified Profile Summary

Douglas Frederick, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Wichita, KS. Practice services are available at 1947 N FOUNDERS CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1947 N Founders Cir

Wichita, KS 672063548

Telephone 3166134640
Fax 3166899769
Associated Practice Facility / Clinic
🏢 Labcorp Kansas, Inc. Facility NPI 1366186520

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wichita, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
214 Specialists

Practicing in Wichita, KS (1395 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KS 45623

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200278930E (KS)
Commercial Insurance / Payer ID Ok Medicaid
20041080A
Commercial Insurance / Payer ID Medicare
003719299

Practice Associates & Co-Workers

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

20 Associated Practitioners
Dr. Andrea Fullerton , MD

Obstetrics & Gynecology

NPI 1063617587

Doctor of Medicine (M.D.)

Molly Pierce

Audiologist

NPI 1104151190
Dr. Abdel-Ghanie Abu-Samra , MD

Internal Medicine - Pulmonary Disease

NPI 1134383177

Doctor of Medicine (M.D.)

Dr. Janey Maki , MD

Obstetrics & Gynecology

NPI 1205859030

Doctor of Medicine (M.D.)

Dr. Jihane Sfeir , MD

Internal Medicine

NPI 1215236815

Doctor of Medicine (M.D.)

NPI 1225443567

Doctor of Audiology

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2014

Registered at 1947 N FOUNDERS CIR, WICHITA, KS 672063548 (Tel: 3166134640)

📍
Updated Business Mailing Address May 19, 2014

Registered at PO BOX 8035, WICHITA, KS 672080035 (Tel: 3166899135)

👤
Provider Name / Credentials Updated May 19, 2014

Recorded as DOUGLAS FREDERICK, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2014

Nurse Practitioner (License #45623 in KS)

🟢
Initial NPI Registration & Enumeration June 16, 2005

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: 1174528053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: May 19, 2014
Sole Proprietor: No

Mailing Address

Po Box 8035

Wichita, KS 672080035

Phone: 3166899135

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.