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

Danielle Nicole Fries, AGNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1093256612

Danielle Nicole Fries, AGNP-BC is a Nurse Practitioner in Maryville, Illinois. Qualified in 2016, 10 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
10
Licensed in
IL, MO
In the registry since
2017
Specialties on file
2

Practice location Address checks out

6812 State Route 162 Ste 200
Maryville, IL 62062-8562
Phone: (618) 288-0900
Fax: (618) 288-0909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209015785 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2017007578 (MO)

Record details

NPI number1093256612
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorYes
NPI enumeratedMarch 15, 2017
Last updated in NPPESJuly 21, 2022
Certification dateDecember 1, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Maryville