Nicholas Fredricks
Nicholas Fredricks is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Jackson, WY, registered under NPI 1447084959.
Getting there
The practice address on file is 555 E BROADWAY AVE STE 218, Jackson, WY 83001. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 47072 | WY | Child & Adolescent Psychiatric/Mental… primary |
This provider holds licence 47072 issued in WY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Psychiatric/Mental Health, Child & Adolescent covers
Definition to come... NUCC Health Care Provider Taxonomy, code 163WP0807X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1447084959 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 27, 2024 |
| Last updated | Aug 27, 2024 |
| Status | Active |
| Sole proprietor | No |
| Practice address |
555 E BROADWAY AVE STE 218 Jackson, WY 83001 (307) 739-4818 |
| Mailing address |
PO BOX 7005 Jackson, WY 83002 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 4 | 7 | 0 | 8 | 4 | 9 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 8 | 7 | 0 | 8 | 8 | 9 | 1 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.