MR. CHRISTOPHER D THEOBALD FNP
NPI 1174253231
Nurse Practitioner - Family in Saranac Lake, NY
About Mr. Christopher D Theobald Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CHRISTOPHER D THEOBALD FNP (NPI 1174253231) is an individual family provider in Saranac Lake, New York, licensed in New York (349696) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and is a graduate of State University Of Ny Upstate Medical University (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Christopher D Theobald Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adirondack Medical Center - Saranac Lake
Acute Care Hospitals · Saranac Lake, NYCanton-Potsdam Hospital
Acute Care Hospitals · Potsdam, NYChamplain Valley Physicians Hospital Medical Ctr
Acute Care Hospitals · Plattsburgh, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12983 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SARANAC LAKE, NY 12983
SARANAC LAKE, NY 12983
SARANAC LAKE, NY 12983
SARANAC LAKE, NY 12983
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Christopher Theobald's NPI number?
The NPI number for Christopher Theobald is 1174253231. It was assigned to this individual provider in the NPPES registry on June 13, 2022.
Where is Christopher Theobald located?
Christopher Theobald practices at 2233 State Route 86, Saranac Lake, NY 12983. The listed phone number is (518) 891-4141.
What is Christopher Theobald's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Christopher Theobald enrolled in Medicare?
Yes. Christopher Theobald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Christopher Theobald affiliated with any hospitals?
According to CMS data, Christopher Theobald is affiliated with Adirondack Medical Center - Saranac Lake, Canton-Potsdam Hospital and Champlain Valley Physicians Hospital Medical Ctr.
When was this NPI record last updated?
The NPPES record for Christopher Theobald was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Christopher D Theobald, FNP · NPI 1174253231
Family physician in Saranac Lake, New York. Individual provider, active in the CMS NPPES registry since June 13, 2022.
## Identity
- **NPI:** 1174253231 (Entity type: Individual)
- **Enumerated:** June 13, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 349696 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2233 STATE ROUTE 86, Saranac Lake, NY 12983-5644
- **Phone:** (518) 891-4141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** State University Of Ny Upstate Medical University, class of 2022
## Record status
- **NPPES last updated:** June 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174253231) · Data from the CMS NPPES public registry.