Christopher D. Theobald, FNP
NPI 1174253231ActiveIndividual· Nurse Practitioner, Family· Saranac Lake, NY
Nurse Practitioner, Family (FNP) in Saranac Lake, New York, trained at State University of Ny Upstate Medical University (class of 2022). Part D covered 683 prescriptions written in 2024, 96% of them generic.
Overview
| NPI | 1174253231 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Jun 13, 2022 |
| Last updated in NPPES | Jun 13, 2022 |
| Certified by provider | Jun 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 349696 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 683 · 718 30-day fills |
|---|---|
| Patients | 332 |
| Total drug cost | $19,457 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | State University of Ny Upstate Medical University |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Adirondack Medical CenterLake Placid, NY · 87 clinicians
Hospital affiliations
- Adirondack Medical Center - Saranac LakeSaranac Lake, NY
- Canton-Potsdam HospitalPotsdam, NY
Other facilities
- Hcr / Hcr Home Care Chha (Plattsburgh)Home health agency · Plattsburgh, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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