COREY JAY FELDMAN PA
NPI 1093040677
Physician Assistant - Medical in Idaho Springs, CO

Active since October 15, 2009PECOS Enrolled
115 15TH AVE, IDAHO SPRINGS, CO 80452(303) 567-2668(303) 567-4169 Get Directions Write a Review

NPPES record last updated: October 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corey Jay Feldman Pa NPPES

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

COREY JAY FELDMAN PA (NPI 1093040677) is an individual medical provider in Idaho Springs, Colorado, licensed in Colorado (2897) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093040677
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCOREY JAY FELDMANCredential: PA
Location Address115 15TH AVEIdaho Springs, CO 80452
Mailing AddressPo Box 3243, 115 15th AveIdaho Springs, CO 80452-3243 · (303) 567-2668 · Fax (303) 567-4169
Fax(303) 567-4169
Sole ProprietorNo
Enumeration DateOctober 15, 2009
NPI 1093040677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · 2897
115 15TH AVE, Idaho Springs, CO 80452

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Corey Jay Feldman Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

Physician Assistant
115 15TH AVE
IDAHO SPRINGS, CO 80452

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 Corey Feldman's NPI number?

The NPI number for Corey Feldman is 1093040677. It was assigned to this individual provider in the NPPES registry on October 15, 2009.

Where is Corey Feldman located?

Corey Feldman practices at 115 15th Ave, Idaho Springs, CO 80452. The listed phone number is (303) 567-2668.

What is Corey Feldman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Corey Feldman enrolled in Medicare?

Yes. Corey Feldman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Corey Feldman was last updated on October 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.