Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Arlene Lucille Fredericks, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1942531645

MS. Arlene Lucille Fredericks, ACNP-BC is a Nurse Practitioner in Brooklyn, New York. Qualified in 2009, 17 years ago. Practices with Small Hospital Innovations LLC, a 80-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
17
Licensed in
NJ, NY
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

150 55th St
Brooklyn, NY 11220-2559
Phone: (718) 630-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 26NJ00227800 (NJ)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ00227800 (NJ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 43430502 (NY)

Record details

NPI number1942531645
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorYes
NPI enumeratedJanuary 19, 2010
Last updated in NPPESMarch 26, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Small Hospital Innovations Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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