Individual provider Active NPI

Denise Jean Freidel, D.O.

  • Family Medicine Physician
  • Moberly, MO
National Provider Identifier
1154441822
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009034588 Issued in MO
Practice address
300 N Morley St Ste a
Moberly, MO 65270-2334
Phone
(660) 263-1225
Fax
(660) 263-1255
NPI assigned
Mar 29, 2007
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 264 NE
Family Medicine Physician 207Q00000X 2009034588 MO Primary

Addresses

Primary practice location

300 N Morley St Ste a
Moberly, MO 65270-2334

Mailing address

300 N Morley St Ste a
Moberly, MO 65270-2334
Phone (660) 263-1225

Other identifiers 6

IdentifierTypeStateIssuer
200652429MedicaidNE
235965OtherNEMIDLANDS CHOICE PROVIDER
P00226181OtherNERAILROAD MEDICARE
20065242968066OtherNETRICARE PROVIDER #
07034OtherNEBLUE CROSS PROVIDER #
200652429OtherNEUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100201000763 MO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6901881176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

1021 E Hwy 22
Centralia, MO 65240-1183
Phone (573) 682-5588

108 Market St
Glasgow, MO 65254-1053
Phone (660) 338-5909

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

1600 E Broadway Box 50 Attn Stephanie Windsor
Columbia, MO 65201-5844

1705 E Broadway
Suite 280
Columbia, MO 65201-7185
Phone (573) 815-7119

300 N Morley St
Moberly, MO 65270-2334
Phone (660) 263-1225

501 N Route B
Hallsville, MO 65255-9266
Phone (573) 696-0500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
264NEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Physician Services, LLC CurrentSince Apr 1, 2021 Accepting new patients
Moberly Medical Clinics Inc Past Accepting new patients
Pegasus Emergency Group Moberly Past Accepting new patients
Physician Groups LC Family Medicine Past Accepting new patients
Moberly Medical Clinics Inc Past Accepting new patients
Freidel Medical Associates Family Medicine PastSince Mar 22, 2004 Accepting new patients
Wahoo Medical P.C. Past Accepting new patients
Midwest Heart and Vein Center, LLC Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1021 E Highway 22
Centralia, MO 65240
Phone (573) 682-5580

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

300 N Morley St
Ste A
Moberly, MO 65270
Phone (660) 263-0404

300 N Morley St
Ste Ac
Moberly, MO 65270
Phone (660) 263-1225

Interoperability endpoints

  • Direct secure messaging: denisefreidel@mhccaremail.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1154441822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MORLEY ST STE A",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702334",
            "telephone_number": "660-263-1225",
            "fax_number": "660-263-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MORLEY ST STE A",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702334",
            "telephone_number": "660-263-1225",
            "fax_number": "660-263-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIDEL",
        "first_name": "DENISE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "264",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2009034588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200652429",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE PROVIDER",
            "identifier": "235965",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00226181",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER #",
            "identifier": "20065242968066",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "07034",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "200652429",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.