Stephanie Michele Friess, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ANP463 Issued in AK

Practice address

713 1St Ave NW
Mount Vernon, IA 52314-1478

Phone

(907) 350-7228

NPI assigned

May 31, 2006

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9026/brand/1/csg/1/fhir/r4

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.

• Aurora Aesthetics and Functional Medicine Clinic, PLLC

  dba Aurora Functional Medicine & Aesthetics Clinic

  • Primary Care Clinic/Center
  • Mount Vernon, IA
  • NPI 1184231979
  NPD Authorized official
• Avante Medical Center, LLC

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1891924163
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649217886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 16TH AVE SW",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141229",
            "telephone_number": "907-350-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 1ST AVE NW",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141478",
            "telephone_number": "907-350-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESS",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "ANP463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aurorafunctionalmed@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "713 1st Ave NW",
            "city": "Mount Vernon",
            "state": "IA",
            "country_code": "US",
            "postal_code": "523141478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dawn M. Gaffney, DDS, LLC (Downtown Dental)
• Eric J. Dybvig
• Douglas Charles Easker, DDS
• Ecotone Therapy Services PLLC
• Rebecca Rae Fetter, PT
• Gbank Health LLC (Mount Vernon Pharmacy)
• Deborah L George, MD
• Julianna Marie Gondek, LMSW
• Randi James Grafft, D.C.
• Deianeira Grage, T-LMHC

• Nurse Practitioner in Mount Vernon, IA
• Providers in Mount Vernon, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.