Individual provider Active NPI

Nathan Friederichs, PA-C

  • Medical Physician Assistant
  • Anchorage, AK
National Provider Identifier
1902376437
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
152411 Issued in AK
Practice address
3841 Piper St Ste T100
Anchorage, AK 99508-4674
Phone
(907) 561-3211
NPI assigned
Nov 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 152411 AK Primary

Addresses

Primary practice location

3841 Piper St Ste T100
Anchorage, AK 99508-4674

Mailing address

PO Box 200149
Anchorage, AK 99520-0149
Phone (907) 561-3211

Other practice location 1

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20200123000695 AK Practitioner - Physician Assistant 2961837851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alaska Heart InstituteGroup PAC ID 2668371469, 58 clinicians

Practice addresses (Care Compare)

2751 Debarr Rd
Suite B200
Anchorage, AK 99508-6813
Phone (907) 561-3211

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 561-3211

3200 Providence Dr
Anchorage, AK 99508-4615
Phone (907) 561-3211

3841 Piper St
Anchorage, AK 99508-4674
Phone (907) 561-3211

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.03
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152411AKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Heart Institute CurrentSince Jan 1, 2020 Accepting new patients

Locations

3841 Piper St
Ste T100
Anchorage, AK 99508
Phone (907) 550-2233

2751 Debarr Rd
Ste B200
Anchorage, AK 99508

Organizations & group practices 1

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 2

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": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1902376437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200149",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995200149",
            "telephone_number": "907-561-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST STE T100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084674",
            "telephone_number": "907-561-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4311 11th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981056367",
            "country_code": "US",
            "telephone_number": "206-616-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDERICHS",
        "first_name": "NATHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "152411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.