JOAN BLUM FRIDERICI (MD) – Family Medicine Physician, NPI 1558699512

JOAN BLUM FRIDERICI (MD) is a healthcare provider. based in Talkeetna, Alaska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 6136 (AK). The NPI Number for JOAN BLUM FRIDERICI (MD) is 1558699512

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JOAN BLUM FRIDERICI (MD)
NPI
1558699512
Phone
(907) 733-2273
Address
34300 S Talkeetna Spur Road
Enumeration Date
1 December 2009
Last Update Date
5 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415363435
Graduation Year
2008 (18 years ago)
PAC ID
7416126610
Group Practice PAC ID
8224187018
Professional Enrollment ID
I20200305002095
Address ID
OR977399626LA51600DRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

495 FAMILY PRACTICE in AK

Provider Addresses for JOAN BLUM FRIDERICI (MD)

  • 34300 S Talkeetna Spur Road

    Talkeetna, AK 99676

    Phone: (907) 733-2273

    Fax: (907) 733-1735

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    LA PINE, OR 977393300

    Phone: (541) 536-3435

    Fax: (541) 536-8047

    Type: Mailing

  • 51600, Huntington Road, La Pine, Deschutes County, Oregon, 97739, United States

    LA PINE, OR 977398887

    Phone: (541) 536-3435

    Fax: (541) 536-8047

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200305002095IFamily PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level6842$0
G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous2121$0
View full utilization report →

Insurance plans in this area (ZIP 99676)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224187018View full group profile
NameSpecialtyState
Nurse PractitionerOR
Certified Clinical Nurse Specialist (Cns)OR
Nurse PractitionerTN
Family Practice, Osteopathic Manipulative MedicineOR
Family PracticeWA
Physician AssistantOR
Physician AssistantOR
Mental Health CounselorOR
Clinical PsychologistOR
Physician AssistantOR

Reviews

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Frequently asked questions

What identifier follows JOAN BLUM FRIDERICI (MD) across health systems?
The NPI 1558699512 uniquely identifies JOAN BLUM FRIDERICI (MD) in U.S. healthcare data.
Should I treat JOAN BLUM FRIDERICI (MD) as an active provider?
Patients and plans typically see JOAN BLUM FRIDERICI (MD) as active in the national extract.
How should patients interpret JOAN BLUM FRIDERICI (MD)'s specialty?
The extract shows Family Medicine Physician for JOAN BLUM FRIDERICI (MD). Clinical services aligned with this taxonomy classification.
Is JOAN BLUM FRIDERICI (MD) tied to Talkeetna, Alaska?
If you are local to Talkeetna, Alaska, JOAN BLUM FRIDERICI (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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