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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306188032

Mary E Fredericks, ARNP is a Nurse Practitioner in Olympia, Washington. Qualified in 2014, 12 years ago. Practices with Wagaman Enterprises Inc, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2013
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

413 Lilly Rd NE Pmg SW Wa Olympia Psychiatry
Olympia, WA 98506-5133
Phone: (360) 493-7060
Fax: (360) 493-7562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60491874 (WA)

Record details

NPI number1306188032
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedMarch 20, 2013
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing addressPo Box 3360, Portland, OR 97208-3360

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Wagaman Enterprises Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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