Active NPI
Amanda Diane Friemel Panek, D.C.,FIAMA,DIPL.AC
- Chiropractor
- Pleasant Valley, IA
National Provider Identifier
1871777474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06633
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201796 | Medicaid | IA | |
| 1871777474 | Other | IA | INDIVIDUAL NPI |
| 1477566404 | Other | IA | GROUP NPI |
| 72004 | Other | IA | WELLMARK |
| I11500 | Other | IA | MEDICARE GROUP |
Other names 1
- Dr. Amanda Diane Friemel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010735 | IL | MD | Chiropractor |
| 4818 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Pleasant Valley, IA
- NPI 1972971463
-
- Chiropractor
- Galesburg, IL
- NPI 1255813770
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.