Jill A Frerichs, DPM
Podiatrist in Clive, IA. Individual provider (NPI-1).
NPI number1962547356
StatusActive
Last updated in NPPESJan 23, 2013
Details
- NPI
- 1962547356
- Entity type
- Individual (NPI-1)
- Name
- Jill A Frerichs
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2007
- Last updated
- Jan 23, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PODIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 792 | IA | Yes |
Practice location
12499 University AveSuite 210
Clive, IA 50325-8288
Phone 515-440-2676
Mailing address
12499 University AveSuite 210
Clive, IA 50325-8288
Phone 515-440-2676
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