Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Vogel Fredrickson, PA-C

Individual provider Physician Assistant · NPI 1770070310

Mary Vogel Fredrickson, PA-C is a Physician Assistant in Grand Rapids, Michigan. Graduated from University of Utah School of Medicine in 2017, 9 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
9
Trained at
University of Utah School of Medicine
Licensed in
MI
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2750 E Beltline Ave NE Fl 3
Grand Rapids, MI 49525-8614
Phone: (616) 447-5820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008498 (MI)

Record details

NPI number1770070310
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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