Individual provider Active NPI

Denise Eileen Fried, PA-C

  • Physician Assistant
  • Bismarck, ND
National Provider Identifier
1740254739
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC0106 Issued in ND
Practice address
414 N 7TH St
Bismarck, ND 58501-4423
Phone
(701) 323-6815
Fax
(701) 323-6516
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC0106 ND Primary

Addresses

Primary practice location

414 N 7TH St
Bismarck, ND 58501-4423

Mailing address

414 N 7TH St
Bismarck, ND 58501-4423
Phone (701) 323-6815

Other identifiers 1

IdentifierTypeStateIssuer
10116MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dfried4565323@direct.sanfordhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000270 ND Practitioner - Physician Assistant 8921998410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck CurrentSince Jun 21, 2010 Accepting new patients
Sanford Bismarck CurrentSince Jun 21, 2010 Accepting new patients
Medcenter One Health Systems DME Current Accepting new patients
Sanford Bismarck Current Accepting new patients

Locations

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

414 N 7th St
Bismarck, ND 58501
Phone (701) 323-5870

510 8th Ave NE
Hazen, ND 58545
Phone (701) 748-2225

102 Mandan Ave
Mandan, ND 58554
Phone (701) 667-5000

Interoperability endpoints

  • Direct secure messaging: dfried4565323@direct.sanfordhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1740254739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014423",
            "telephone_number": "701-323-6815",
            "fax_number": "701-323-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014423",
            "telephone_number": "701-323-6815",
            "fax_number": "701-323-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "DENISE",
        "middle_name": "EILEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10116",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfried4565323@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "414 N 7th St",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585014423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.