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

Individual provider Certified Registered Nurse Anesthetist · NPI 1497835169

Jennifer Lee Frederick, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Louisville, Kentucky. Qualified in 2006, 20 years ago. Practices with Professional Anesthesia Services of Kentucky PLLC, a 346-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
20
Licensed in
KY
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

320 Whittington Pkwy Ste 301
Louisville, KY 40222-4928
Phone: (502) 625-5584
Fax: (502) 426-2264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 5096A (KY)

Record details

NPI number1497835169
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESMarch 22, 2016

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Professional Anesthesia Services Of Kentucky Pllc — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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