Individual provider Active NPI

Dennis L Freed, CRNP

  • Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1962443093
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
UP005677B Issued in PA
Practice address
605 W Walnut St
Lancaster, PA 17603-3383
Phone
(717) 299-6371
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X UP005677B PA Primary

Addresses

Primary practice location

605 W Walnut St
Lancaster, PA 17603-3383

Mailing address

304 N Water St
Lancaster, PA 17603-3374
Phone (717) 291-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031203000566 PA Practitioner - Nurse Practitioner 1355246372 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
UP005677BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care CurrentSince May 20, 2021 Accepting new patients
Union Community Care CurrentSince May 20, 2021 Accepting new patients
Union Community Care Current Accepting new patients
Union Community Care Past Accepting new patients
Union Community Care Past Accepting new patients

Locations

802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700

605 W Walnut St
Lancaster, PA 17603
Phone (717) 291-6257

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Interoperability endpoints

  • Direct secure messaging: dennis.freed.1@14261.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1962443093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N WATER ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033374",
            "telephone_number": "717-291-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W WALNUT ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033383",
            "telephone_number": "717-299-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "DENNIS",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "UP005677B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.