Jenna L Fredrick

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NPI Number Detailed Information

Provider Information:

Name:	Jenna L Fredrick
Gender:	F
Provider License Number If Given:	4461-33

NPI Information:

NPI:	1528347762
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	8/5/2011
Last Update Date:	10/5/2015

Provider Business Mailing Address:

Address:	PO BOX 22487 Green Bay, WI 54305
Phone Number:	9204457222
Fax Number:	9204457289

Provider Business Practice Location Address:

Address:	1630 COMMANCHE AVE Green Bay, WI 54313
Phone Number:	9204304585
Fax Number:	9204304569

Provider Taxonomy:

Primary:	364SM0705X
Secondary (if any):	363L00000X
State:	WI

Top Doctors in WI

About Jenna L Fredrick

Jenna L Fredrick ( JENNA L FREDRICK ) is Definition Clinical Nurse Specialist Physician in Green Bay, WI. The NPI Number for Jenna L Fredrick is 1528347762.

The current location address for Jenna L Fredrick is 1630 COMMANCHE AVE Green Bay, WI 54313 and the contact number is 9204457222 and fax number is 9204457289. The mailing address for Jenna L Fredrick is PO BOX 22487 Green Bay, WI 54305- 9204304585 (mailing address contact number - 9204457222).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Jenna L Fredrick ?

Answer: The NPI Number for Jenna L Fredrick is 1528347762

Where is Jenna L Fredrick located?

Answer: Jenna L Fredrick is located at 1630 COMMANCHE AVE Green Bay, WI 54313.

What is the specialty for Jenna L Fredrick ?

Answer: The Specialty of Jenna L Fredrick is Definition Clinical Nurse Specialist Physician.

Are there any online reviews for Jenna L Fredrick ?

Answer: Not yet!

Are there any other health care providers in Green Bay, WI?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Jenna L Fredrick

Number of HCPCS	38
Number of Medicare Beneficiaries	156
Number of Services	607
Total Submitted Charge Amount	77567.03
Total Medicare Allowed Amount	30931.19
Total Medicare Payment Amount	23408.86
Total Medicare Standardized Payment Amount	24374.96
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	7
Number of Medicare Beneficiaries With Drug Services	29
Number of Drug Services	194
Total Drug Submitted Charge Amount	3848.23
Total Drug Medicare Allowed Amount	2107.26
Total Drug Medicare Payment Amount	2089.09
Total Drug Medicare Standardized Payment Amount	2047.25
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	31
Number of Medicare Beneficiaries With Medical	156
Number of Medical Services	413
Total Medical Submitted Charge Amount	73718.8
Total Medical Medicare Allowed Amount	28823.93
Total Medical Medicare Payment Amount	21319.77
Total Medical Medicare Standardized Payment Amount	22327.71
Average Age of Beneficiaries	67
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	71
Number of Beneficiaries Age 75 to 84	39
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	103
Number of Male Beneficiaries	53
Number of Non-Hispanic White Beneficiaries	145
Number of Black or African American Beneficiaries	0
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	46
Number of Beneficiaries With Medicare Only Entitlement	110
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.1
Percent (%) of Beneficiaries Identified With Asthma	0.07
Percent (%) of Beneficiaries Identified With Cancer	0.17
Percent (%) of Beneficiaries Identified With Heart Failure	0.21
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.42
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.12
Percent (%) of Beneficiaries Identified With Depression	0.4
Percent (%) of Beneficiaries Identified With Diabetes	0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.62
Percent (%) of Beneficiaries Identified With Hypertension	0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.31
Percent (%) of Beneficiaries Identified With Osteoporosis	0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.5785

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	2456
Number of Standardized 30-Day Fills	4954.0666667
Aggregate Cost Paid for All Claims	222536.27
Number of Day's Supply for All Claims	139666
Number of Medicare Beneficiaries	340
Number of Claims, Including Refills, for Beneficiaries Age 65+	1747
Including Refills, for Beneficiaries Age 65+	3635.9333333
Beneficiaries Age 65+	121982.32
Number of Day's Supply for All Claims for Beneficaries Age 65+	103540
Number of Medicare Beneficiaries Age 65+	252
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	#
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	2072
Aggregate Cost Paid for Generic Drugs	51579.23
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	*
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	1622
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	133950.59
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	834
Aggregate Cost Paid for Claims Filled by	88585.68
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1104
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	144612.76
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	1352
by Low-Income Subsidy	77923.51
Total Claims of Opioid Drugs, Including	116
Aggregate Cost Paid for Opioid Drugs	7385.33
Opioid Claims	47
Opioid_Tot_Clms divided by the Tot_Clms	4.7231270358
Total Claims of Long-Acting Opioid Drugs	17
Aggregate Cost Paid for Long-Acting Opioid	5147.93
Number of Day's Supply of All Long-Acting	502
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	14.655172414
Total Claims of Antibiotic Drugs, Including	92
Aggregate Cost Paid for Antibiotic Drugs	935.72
Antibiotic Claims	61
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	13
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	769.83
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	67.714705882
Number of Beneficiaries Age Less Than 65	88
Number of Beneficiaries Age 65 to 74	159
Number of Beneficiaries Age 75 to 84	70
Number of Female Beneficiaries	249
Number of Male Beneficiaries	91
Number of Non-Hispanic White	310
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not	14
Only Entitlement	241
Average Hierarchical Condition Category	1.3503423786

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