Kelli Jean Frederickson, NP-C
NPI 1659777332ActiveIndividual· Nurse Practitioner· Green Bay, WI
Nurse Practitioner (NP-C) with Baycare Aurora LLC, practicing in Green Bay, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $1,078,704 for 6,268 claims, against $36,648 paid for services in 2024. Si-Bone, Inc. reported $39.82 in payments in 2025, mostly food and beverage. Lists Aurora Baycare Medical Ctr and 1 other hospital as hospital affiliations.
Overview
| NPI | 1659777332 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Nov 7, 2014 |
| Last updated in NPPES | Feb 20, 2020 |
| Certified by provider | Feb 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 6107-33 | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 491 |
|---|---|
| Services billed | 1,257 across 13 procedure codes |
| Paid by Medicare | $36,648 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,268 · 13,950 30-day fills |
|---|---|
| Patients | 801 |
| Total drug cost | $1,078,704 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Baycare Aurora LLCGreen Bay, WI · 194 clinicians
Hospital affiliations
- Aurora Baycare Medical CtrGreen Bay, WI
- Aurora Medical Center Bay AreaMarinette, WI
Industry payments (Open Payments)
- 2025$39.82 · 1 payment from 1 company
- 2024$108.62 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Si-Bone, Inc. | $39.82 | 1 |
What the 2025 payments were for
- Food and Beverage$39.82 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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