Person

Abby N Fredrickson

Debarred entity

United States. Named in 3 sanctions listings.

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Sanctions and listings3

  • Effective
    7 Jan 2026

    Official designation

    New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States

    DISQUALIFICATION

    nj.gov

  • Effective
    24 Nov 2025

    Official designation

    Michigan Department of Health & Human ServicesUS Michigan Medicaid Sanctioned Provider ListUnited States

    Summary Suspension

    michigan.gov

  • Effective
    23 Jan 2026

    Official designation

    South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause

    scdhhs.gov

Identifiers1

IdentifierNumber
NPI number1376063370

Other names1

Also known as1

Fredrickson, Abby

Addresses3

  • Duluth, MN 55805

  • Moorhead, MI

  • 1175 SOUTHWOOD DRIVE, ISHPEMING, MI 49849

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