Individual provider Active NPI

Nicholas Rosenfeld, MD

  • Family Medicine Physician
  • Juneau, AK
National Provider Identifier
1750701793
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
122021 Issued in AK
Practice address
3260 Hospital Dr
Juneau, AK 99801-7808
Phone
(907) 796-8900
NPI assigned
Apr 17, 2014
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 177947 AK
Family Medicine Physician 207Q00000X C1-0013129 DE
Family Medicine Physician 207Q00000X 122021 AK Primary

Addresses

Primary practice location

3260 Hospital Dr
Juneau, AK 99801-7808

Mailing address

PO Box 34704
Juneau, AK 99803-4704

Other practice location 1

1401 Foulk Rd Ste 100B
Wilmington, DE 19803-2764
Phone (302) 477-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200116002358 AK Practitioner - Family PracticePractitioner - Emergency Medicine 0547487712 Reassigns benefits to 3 organizations
I20210408000531 TX Practitioner - Emergency Medicine 0547487712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juneau Emergency Medical Associates IncGroup PAC ID 2466745351, 20 clinicians

Practice addresses (Care Compare)

3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8427

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122021AKMDFamily Medicine Physician
177947AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Municipality of Skagway CurrentSince Mar 28, 2022 Accepting new patients
Nes Washington, Inc. CurrentSince Dec 13, 2019 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Apr 5, 2021 Accepting new patients
Bartlett Regional Hospital CurrentSince Aug 1, 2023 Accepting new patients
Juneau Emergency Medical Associates, Inc. CurrentSince Jun 25, 2020 Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

3268 Hospital Dr
Ste A
Juneau, AK 99801
Phone (907) 586-2700

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

Interoperability endpoints

  • Direct secure messaging: nicholas.rosenfeld.1@15635.direct.athenahealth.com

Organizations & group practices 5

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": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1750701793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34704",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998034704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017808",
            "telephone_number": "907-796-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Foulk Rd Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198032764",
            "country_code": "US",
            "telephone_number": "302-477-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "177947",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0013129",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "122021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.