Individual provider Active NPI

Andrew M Friebel, RPA-C

  • Physician Assistant
  • Lake Placid, NY
National Provider Identifier
1851620124
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013760 Issued in NY
Practice address
29 Church St
Lake Placid, NY 12946-1805
Phone
(518) 523-1327
Fax
(518) 523-9964
NPI assigned
Dec 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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 013760 NY Primary

Addresses

Primary practice location

29 Church St
Lake Placid, NY 12946-1805

Mailing address

29 Church St
Lake Placid, NY 12946-1805
Phone (518) 523-1327

Other identifiers 1

IdentifierTypeStateIssuer
03177199MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100112000163 NY Practitioner - Physician Assistant 4183765258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Medical CenterGroup PAC ID 9638081284, 85 clinicians

Practice addresses (Care Compare)

203 Old Military Rd
Lake Placid, NY 12946-1738
Phone (518) 523-1327

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Medical Center CurrentSince Oct 19, 2023 Accepting new patients
Adirondack Medical Center CurrentSince Oct 19, 2023 Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Adirondack Medical Center Past Accepting new patients
Chemung Medical Services PC Past Accepting new patients

Locations

203 Old Military Rd
Lake Placid, NY 12946
Phone (518) 523-1327

29 Church St
Lake Placid, NY 12946
Phone (518) 523-1122

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1851620124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHURCH ST",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461805",
            "telephone_number": "518-523-1327",
            "fax_number": "518-523-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CHURCH ST",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461805",
            "telephone_number": "518-523-1327",
            "fax_number": "518-523-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEBEL",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03177199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, NY

Sources for this page

Verify at the official NPI Registry.