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

Annette Frederick

Individual provider Gerontology Nurse Practitioner · NPI 1164931689

Annette Frederick is a Nurse Practitioner in Bethlehem, Pennsylvania. Qualified in 2017, 9 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone: (484) 526-7035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP017937 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence TGRN035281 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN565313 (PA)

Record details

NPI number1164931689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESOctober 3, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bethlehem