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

Jenna L Fredrick, APNP

Individual provider Nurse Practitioner · NPI 1528347762

Jenna L Fredrick, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2011, 15 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

1630 Commanche Ave
Green Bay, WI 54313-5753
Phone: (920) 430-4585
Fax: (920) 430-4569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4461-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4461-33 (WI)
Medical-Surgical Clinical Nurse Specialist Taxonomy 364SM0705X · Licence 4461-33 (WI)

Record details

NPI number1528347762
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 5, 2011
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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