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DR. DIANA MARSHALL FEDEWA D.C.
NPI 1417165473
Chiropractor in Wisconsin Dells, WI

Active since May 21, 2007
719 VINE ST, WISCONSIN DELLS, WI 53965(608) 254-4731(608) 253-9257 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Diana Marshall Fedewa D.c. NPPES

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

DR. DIANA MARSHALL FEDEWA D.C. (NPI 1417165473) is an individual chiropractor in Wisconsin Dells, Wisconsin, licensed in Wisconsin (3058) and active in the NPI registry since May 2007. She is a graduate of Palmer College Chiropractic - Davenport (1994).

NPPES Registry Identity

NPI1417165473
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. DIANA MARSHALL FEDEWACredential: D.C.
Location Address719 VINE STWisconsin Dells, WI 53965-1621
Mailing Address719 Vine StWisconsin Dells, WI 53965-1621 · (608) 254-4731 · Fax (608) 253-9257
Phone(608) 254-4731
Fax(608) 253-9257
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1994
Enumeration DateMay 21, 2007
Last NPPES UpdateMarch 15, 2012
✔ NPI 1417165473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 3058
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
719 VINE ST, Wisconsin Dells, WI 53965
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Other Identifiers 3

Medicare UPINU48952WI
Medicare ID-Type Unspecified000070644WI
Other350037758WI · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diana Marshall Fedewa D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961786363
PECOS Enrollment IDI20201217001286

Other Providers at the Same Location NPPES

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

DR. DUANE MICHAEL FEDEWA D.C.
Chiropractor
719 VINE ST
WISCONSIN DELLS, WI 53965
Columbia County (608) 254-4731

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 Diana Fedewa's NPI number?

The NPI number for Diana Fedewa is 1417165473. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Diana Fedewa located?

Diana Fedewa practices at 719 Vine St, Wisconsin Dells, WI 53965. The listed phone number is (608) 254-4731.

What is Diana Fedewa's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Diana Fedewa enrolled in Medicare?

Yes. Diana Fedewa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Fedewa was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.