Individual provider Active NPI

Rebecca A Freligh

  • Adult Health Nurse Practitioner
  • Glens Falls, NY
National Provider Identifier
1497107478
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307863 Issued in NY
Practice address
102 Park St
Glens Falls, NY 12801-4403
Phone
(518) 926-6620
Fax
(518) 926-1954
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 646907 NY
Adult Health Nurse Practitioner 363LA2200X 307863 NY Primary

Addresses

Primary practice location

102 Park St
Glens Falls, NY 12801-4403

Mailing address

PO Box 304
Glens Falls, NY 12801-0304
Phone (518) 926-5924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161005001325 NY Practitioner - Nurse Practitioner 0042508152 Reassigns benefits to 1 organization
I20241011002039 ME Practitioner - Nurse Practitioner 0042508152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

127 Long Sands Plaza
York Oncology
York, ME 03909-1158
Phone (207) 351-3777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.44
Promoting interoperability
97.95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
646907NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc CurrentSince Aug 1, 2016 Accepting new patients
Glens Falls Hospital Inc. CurrentSince Aug 1, 2016 Accepting new patients
York Hospital CurrentSince Oct 7, 2024 Accepting new patients
Seacoast Pathology Inc Current Accepting new patients

Locations

127 Long Sands Rd
York, ME 03909
Phone (207) 351-3715

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

102 Park St
Glens Falls, NY 12801
Phone (518) 793-5601

2 Broad Street Plz
Glens Falls, NY 12801
Phone (518) 793-0519

79 North St
Granville, NY 12832
Phone (518) 642-0612

Organizations & group practices 4

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 1

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1497107478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014403",
            "telephone_number": "518-926-6620",
            "fax_number": "518-926-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRELIGH",
        "first_name": "REBECCA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "646907",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.