SAGE MATTEA FRIEDT DC
NPI 1194531152
Chiropractor in Bloomington, IL

Active since December 05, 2024
2710 E LINCOLN ST STE A, BLOOMINGTON, IL 61704(309) 662-8418(309) 662-8197 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sage Mattea Friedt Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAGE MATTEA FRIEDT DC (NPI 1194531152) is an individual chiropractor in Bloomington, Illinois, licensed in Illinois (038014211) and active in the NPI registry since December 2024. She is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1194531152
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameSAGE MATTEA FRIEDTCredential: DC
Location Address2710 E LINCOLN ST STE ABloomington, IL 61704-6010
Mailing Address2710 E Lincoln St Ste ABloomington, IL 61704-6010 · (309) 662-8418 · Fax (309) 662-8197
Fax(309) 662-8197
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024
Enumeration DateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1194531152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038014211
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2710 E LINCOLN ST STE A, Bloomington, IL 61704

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sage Mattea Friedt Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224554076
PECOS Enrollment IDI20260402002373

Medicare Billing Reassignment

Medicare enrollment records show Sage Friedt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
4141 31ST AVE S, SUITE 102
Fargo, ND 58104
  • Reassigned Medicare billing, North Dakota enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2710 E LINCOLN ST STE A
BLOOMINGTON, IL 61704
Chiropractor
2710 E LINCOLN ST STE A
BLOOMINGTON, IL 61704
Chiropractor
2710 E LINCOLN ST STE A
BLOOMINGTON, IL 61704

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 Sage Friedt's NPI number?

The NPI number for Sage Friedt is 1194531152. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Where is Sage Friedt located?

Sage Friedt practices at 2710 E Lincoln St Ste A, Bloomington, IL 61704. The listed phone number is (309) 662-8418.

What is Sage Friedt's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Sage Friedt enrolled in Medicare?

Yes. Sage Friedt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sage Friedt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sage Friedt reassigns Medicare benefits to Mason Orth, PC (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sage Friedt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sage Friedt accept?

Health plans from Blue Cross Blue Shield of North Dakota list Sage Friedt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sage Friedt was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.