Jordan Frederick, CRNP
NPI 1245913367ActiveIndividual· Nurse Practitioner· Winfield, AL
Nurse Practitioner (CRNP) with Farouk A Raquib MD PC, practicing in Winfield, Alabama. Part D covered 899 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1245913367 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | Aug 8, 2023 |
| Last updated in NPPES | Aug 8, 2023 |
| Certified by provider | Aug 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1155321 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 899 · 1,273 30-day fills |
|---|---|
| Patients | 344 |
| Total drug cost | $43,300 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Farouk A Raquib MD PCWinfield, AL · 5 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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