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

Stephanie Marie Frederick, CNP

Individual provider Family Nurse Practitioner · NPI 1053177311

Stephanie Marie Frederick, CNP is a Nurse Practitioner in Toledo, Ohio. Qualified in 2022, 4 years ago. Practices with Northern Ohio Medical Specialists, LLC, a 251-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2024
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3230 Central Park W Ste 114
Toledo, OH 43617-1019
Phone: (419) 517-2686
Fax: (419) 517-2687
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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 APRN.CNP.0033360 (OH)

Record details

NPI number1053177311
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northern Ohio Medical Specialists,Llc — 251 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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