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KRISTIN FEDORCHAK
NPI 1306386982
Nurse Practitioner - Women's Health in Manchester, NH

Active since March 02, 2017PECOS Enrolled
150 TARRYTOWN RD, MANCHESTER, NH 03103(603) 622-3162(603) 622-8677 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 23, 2026, Mar 2, 2017 (2 updates tracked since 2017).

About Kristin Fedorchak NPPES

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

KRISTIN FEDORCHAK (NPI 1306386982) is an individual women's health provider in Manchester, New Hampshire, licensed in New Hampshire (040987-23) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306386982
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKRISTIN FEDORCHAK
Location Address150 TARRYTOWN RDManchester, NH 03103-2713
Mailing Address150 Tarrytown RdManchester, NH 03103-2713 · (603) 622-3162 · Fax (603) 622-8677
Phone(603) 622-3162
Fax(603) 622-8677
Sole ProprietorNo
Enumeration DateMarch 2, 2017
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1306386982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NH · 040987-23
150 TARRYTOWN RD, Manchester, NH 03103
Open in Google Maps ↗

Other Identifiers 1

Other040987-23NH · Nh Aprn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Fedorchak 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.

Medicare Billing Reassignment

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

Wentworth Douglass Physician Corporation
31 mi
Diabetes Educator
10 MEMBERS WAY FL 5
Dover, NH 03820
  • Reassigned Medicare billing, New Hampshire enrollment
  • 559 clinicians in this Medicare group
NPI 1336751825 (603) 609-6800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03103 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
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.

DR. AUDREY L. ANASTASIA DRPH, RD, FAND
Dietitian, Registered
150 TARRYTOWN RD
MANCHESTER, NH 03103
Hillsborough County (603) 622-3162
DR. GARY A WASSERMAN M.D.
Obstetrics & Gynecology
150 TARRYTOWN RD
MANCHESTER, NH 03103
Hillsborough County (603) 622-3162
AUDREY L. ANASTASIA, DRPH, RD, LLC
Dietitian, Registered
150 TARRYTOWN RD
MANCHESTER, NH 03103
Hillsborough County (603) 622-3162
FAMILYWELL PLLC
Social Worker (Clinical)
150 TARRYTOWN RD
MANCHESTER, NH 03103
Hillsborough County (864) 336-2731
MELISSA CULVERWELL ARNP
Obstetrics & Gynecology
150 TARRYTOWN RD
MANCHESTER, NH 03103
Hillsborough County (603) 622-3162
DR. JENNIFER M. DONOFRIO M.D.
Obstetrics & Gynecology
150 TARRYTOWN RD
MANCHESTER, NH 03103
Hillsborough County (603) 622-3162
VITTORIA DELGADO
Midwife
150 TARRYTOWN RD
MANCHESTER, NH 03103
Hillsborough County (603) 622-3162
ERIN HEBERT APRN
Obstetrics & Gynecology
150 TARRYTOWN RD
MANCHESTER, NH 03103
Hillsborough County (603) 622-3162

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 Kristin Fedorchak's NPI number?

The NPI number for Kristin Fedorchak is 1306386982. It was assigned to this individual provider in the NPPES registry on March 2, 2017.

Where is Kristin Fedorchak located?

Kristin Fedorchak practices at 150 Tarrytown Rd, Manchester, NH 03103. The listed phone number is (603) 622-3162.

What is Kristin Fedorchak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kristin Fedorchak enrolled in Medicare?

Yes. Kristin Fedorchak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristin Fedorchak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Fedorchak reassigns Medicare benefits to Wentworth Douglass Physician Corporation (Dover, NH). 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 Kristin Fedorchak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristin Fedorchak was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.