Kelly S Freberg-Ash, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301087541 Issued in MI

Practice address

127 Arbutus Ave.
Manistique, MI 49854-0005

Phone

(906) 254-5400

Fax

(906) 263-3682

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

Yes

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

• Schoolcraft Memorial Hospital

  • Home Health Agency
  • Manistique, MI
  • NPI 1447256276
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 20, 2024 through Nov 20, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/71812193-7aa5-42d8-ba4c-ee45e2ea853f/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2024.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1497958813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498540005",
            "telephone_number": "906-254-5400",
            "fax_number": "906-263-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ARBUTUS AVE.",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498540005",
            "telephone_number": "906-254-5400",
            "fax_number": "906-263-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREBERG-ASH",
        "first_name": "KELLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301087541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christon Illia Dums, M.D.
• Allen Joseph Duyck, PT
• Heide Erickson
• Gabrielle Flatt, FNP
• Jessica Lynn Flory-Whitmer, CHW
• Jennifer Gagnon Snyder
• John Patrick Galey, MD
• Barbara Gauger, MSW
• Sandra Giammona, R.N.
• Kristi Lynn Gibson Kusnier, MD

• All providers in Manistique, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.