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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.

JAYNE K FEDOR P.A.C.
NPI 1376538124
Physician Assistant - Medical in Springfield, IL

Active since September 19, 2005
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702(217) 545-0173(217) 788-5459 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jayne K Fedor P.a.c. NPPES

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

JAYNE K FEDOR P.A.C. (NPI 1376538124) is an individual medical provider in Springfield, Illinois and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1376538124
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJAYNE K FEDORCredential: P.A.C.
Location Address751 N RUTLEDGE STSpringfield, IL 62702-4909
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-7578 · Fax (217) 545-1884
Phone(217) 545-0173
Fax(217) 788-5459
Sole ProprietorNo
Enumeration DateSeptember 19, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1376538124 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
751 N RUTLEDGE ST, Springfield, IL 62702
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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.

ZACHARIAH GURNSEY MD
Internal Medicine
751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-0182
CATHERINE A NARITOKU R.D.
Dietitian, Registered
751 N RUTLEDGE ST, LOWER LEVEL
SPRINGFIELD, IL 62702
Sangamon County (217) 545-0182
MRS. LUCINDA S BUESCHER M.D.
Dermatology
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-3821
JAMES M GILCHRIST MD
Psychiatry & Neurology (Clinical Neurophysiology)
751 N RUTLEDGE ST, STE 3100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. AKSHRA VERMA MD, MS
Internal Medicine
751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-0182
CYNTHIA A MICHAEL MD
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
TILITHA S SHAWGO
Clinical Nurse Specialist (Acute Care)
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4421
REBECCA J LARSON MD
Dermatology (MOHS-Micrographic Surgery)
751 N RUTLEDGE ST, SUITE 2300
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Jayne Fedor's NPI number?

The NPI number for Jayne Fedor is 1376538124. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Jayne Fedor located?

Jayne Fedor practices at 751 N Rutledge St, Springfield, IL 62702. The listed phone number is (217) 545-0173.

What is Jayne Fedor's specialty?

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

When was this NPI record last updated?

The NPPES record for Jayne Fedor was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.