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ANDREW WALLACE FREEBORN PA
NPI 1508190851
Physician Assistant - Surgical in Traverse City, MI

Active since September 18, 2009PECOS EnrolledAccepts Medicare Assignment
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-7514(231) 392-0039 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Sep 29, 2020 (2 updates tracked since 2020).

About Andrew Wallace Freeborn Pa NPPES

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

ANDREW WALLACE FREEBORN PA (NPI 1508190851) is an individual surgical provider in Traverse City, Michigan, licensed in Michigan (5601005642) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1508190851
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANDREW WALLACE FREEBORNCredential: PA
Location Address1105 SIXTH STTraverse City, MI 49684-2345
Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-7514 · Fax (231) 392-0039
Phone(231) 935-7514
Fax(231) 392-0039
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 18, 2009
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1508190851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MI · 5601005642
1105 SIXTH ST, Traverse City, MI 49684
Open in Google Maps ↗

Secondary Practice Locations 7

Location 14045 W Royal DrTraverse City, MI 49684-8965 · Phone (231) 935-0900 · Fax (231) 935-0308
Location 21221 Sixth St Ste 100Traverse City, MI 49684-2359 · Phone (231) 392-8400
Location 3217 S Madison StTraverse City, MI 49684-2321 · Phone (231) 392-8400
Location 43537 W Front StTraverse City, MI 49684-7941 · Phone (231) 935-5880
Location 51221 Sixth St Ste 300Traverse City, MI 49684-2360 · Phone (231) 935-0322
Location 68872 Professional Dr Ste BCadillac, MI 49601-8482 · Phone (231) 779-0320
Location 71345 E Parkdale AveManistee, MI 49660-9318 · Phone (231) 398-1750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Andrew Wallace Freeborn 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 ID6901944453
PECOS Enrollment IDI20091104000034
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

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.

EDWARD J WALSH MD
Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0497
STEVEN BONKOSKI PHARMD
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
DR. ARIEL MARIE ENNIS NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3250
MRS. MICHELLE K HEARN PHARM.D.
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6581
MUNSON MEDICAL CENTER
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
KRISTINE A SIEMER OTR/L, CHT
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8600
ALYSON M BOOTH MD
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6100
DEANNE R BRIGGS LPC, CAC III
Counselor (Mental Health)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6380

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 Andrew Freeborn's NPI number?

The NPI number for Andrew Freeborn is 1508190851. It was assigned to this individual provider in the NPPES registry on September 18, 2009.

Where is Andrew Freeborn located?

Andrew Freeborn practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-7514.

What is Andrew Freeborn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrew Freeborn enrolled in Medicare?

Yes. Andrew Freeborn 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.

What insurance does Andrew Freeborn accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Andrew Freeborn 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.

Is Andrew Freeborn affiliated with any hospitals?

According to CMS data, Andrew Freeborn is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Freeborn was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.