Individual provider Active NPI

Amanda Diane Friemel Panek, D.C.,FIAMA,DIPL.AC

  • Chiropractor
  • Pleasant Valley, IA
National Provider Identifier
1871777474
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06633 Issued in IA
Practice address
24609 Valley Dr
Pleasant Valley, IA 52767
Phone
(563) 888-1978
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010735 IL
Chiropractor 111N00000X 06633 IA Primary
Chiropractor 111N00000X 4818 KY

Addresses

Primary practice location

24609 Valley Dr
Pleasant Valley, IA 52767

Mailing address

24609 Valley Dr
Pleasant Valley, IA 52767
Phone (563) 888-1978

Other identifiers 5

IdentifierTypeStateIssuer
0201796MedicaidIA
1871777474OtherIAINDIVIDUAL NPI
1477566404OtherIAGROUP NPI
72004OtherIAWELLMARK
I11500OtherIAMEDICARE GROUP

Other names 1

  • Dr. Amanda Diane Friemel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080517000041 IA Practitioner - Chiropractic 0749359792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24609 Valley Dr
Pleasant Valley, IA 52767-9000
Phone (563) 888-1978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010735ILMDChiropractor
4818KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Galesburg Wellness Systems P.C. Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1871777474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24609 VALLEY DR",
            "city": "PLEASANT VALLEY",
            "state": "IA",
            "postal_code": "52767",
            "telephone_number": "563-888-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24609 VALLEY DR",
            "city": "PLEASANT VALLEY",
            "state": "IA",
            "postal_code": "52767",
            "telephone_number": "563-888-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEMEL PANEK",
        "first_name": "AMANDA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.C.,FIAMA,DIPL.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010735",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06633",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201796",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1871777474",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1477566404",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "72004",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "I11500",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FRIEMEL",
            "middle_name": "DIANE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Valley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.