Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annette Frederick

Individual provider Gerontology Nurse Practitioner · NPI 1164931689

Annette Frederick is a Nurse Practitioner in Bethlehem, Pennsylvania. Qualified in 2017, 9 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone: (484) 526-7035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP017937 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence TGRN035281 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN565313 (PA)

Record details

NPI number1164931689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESOctober 3, 2017
Mailing address801 Ostrum St, Bethlehem, PA 18015-1000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bethlehem