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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLOW FRIES PA
NPI 1427939305
Physician Assistant in Potsdam, NY

Active since September 09, 2025PECOS Enrolled
49 LAWRENCE AVE, POTSDAM, NY 13676(315) 265-2153(315) 265-2540 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 3, 2026, Jul 22, 2026, Sep 9, 2025 (3 updates tracked since 2025).

About Willow Fries Pa NPPES

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

WILLOW FRIES PA (NPI 1427939305) is an individual physician assistant in Potsdam, New York, licensed in New York (034502) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Massena.

NPPES Registry Identity

NPI1427939305
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameWILLOW FRIESCredential: PA
Location Address49 LAWRENCE AVEPotsdam, NY 13676-1889
Mailing Address50 Leroy StPotsdam, NY 13676-1786
Phone(315) 265-2153
Fax(315) 265-2540
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 9, 2025
Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1427939305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034502
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
49 LAWRENCE AVE, Potsdam, NY 13676
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Secondary Practice Location 1

Location 115 Hospital DrMassena, NY 13662-1092 · Phone (315) 769-4638 · Fax (315) 842-3009

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

Willow Fries Pa 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.

PECOS PAC ID7911403662
PECOS Enrollment IDI20251001002300
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DAVID ABBATEMATTEO MD
Anesthesiology (Pain Medicine)
49 LAWRENCE AVE
POTSDAM, NY 13676
St. Lawrence County (315) 274-9075
MRS. JAIME BYINGTON BICKNELL PT
Physical Therapist
49 LAWRENCE AVE
POTSDAM, NY 13676
St. Lawrence County (315) 261-5460
CAITLYN DUPRAY DPT
Physical Therapist
49 LAWRENCE AVE
POTSDAM, NY 13676
St. Lawrence County (315) 261-5460
ASHLEY GRIMSHAW MD
Family Medicine
49 LAWRENCE AVE
POTSDAM, NY 13676
St. Lawrence County (315) 261-5550
REBECCA ANN MARTIN
Physical Therapist (Neurology)
49 LAWRENCE AVE
POTSDAM, NY 13676
St. Lawrence County (315) 264-5460
DAWN M. WHITE PA
Physician Assistant
49 LAWRENCE AVE
POTSDAM, NY 13676
St. Lawrence County (315) 261-5550
VINEET BANSAL
Family Medicine
49 LAWRENCE AVE
POTSDAM, NY 13676
St. Lawrence County (315) 261-5550
CASEY LYNN UNRUH RN BSN
Nurse Practitioner (Women's Health)
49 LAWRENCE AVE
POTSDAM, NY 13676
St. Lawrence County (315) 265-2153

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 Willow Fries's NPI number?

The NPI number for Willow Fries is 1427939305. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Willow Fries located?

Willow Fries practices at 49 Lawrence Ave, Potsdam, NY 13676. The listed phone number is (315) 265-2153.

What is Willow Fries's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Willow Fries enrolled in Medicare?

Yes. Willow Fries 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 Willow Fries affiliated with any hospitals?

According to CMS data, Willow Fries is affiliated with Rochester General Hospital, Canton-Potsdam Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Willow Fries was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.