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ADRIENE KIM FEDDE MD
NPI 1609915636
Family Medicine in Petersburg, AK

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
103 FRAM STREET, PETERSBURG, AK 99833(505) 819-8996 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Jan 24, 2017 (2 updates tracked since 2017).

About Adriene Kim Fedde Md NPPES

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

ADRIENE KIM FEDDE MD (NPI 1609915636) is an individual family medicine provider in Petersburg, Alaska, licensed in Alaska (7230) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1609915636
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameADRIENE KIM FEDDECredential: MD
Location Address103 FRAM STREETPetersburg, AK 99833
Mailing AddressPo Box 150Frisco, CO 80443-0150 · (505) 819-8996
Phone(505) 819-8996
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1609915636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AK · 7230✔ Licensed in CO · DR.0054942
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
103 FRAM STREET, Petersburg, AK 99833
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Secondary Practice Location 1

Location 110350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adriene Kim Fedde Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284791559
PECOS Enrollment IDI20130717000843, I20170228000895
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99833 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

ELIZABETH POOLE
Nurse Practitioner (Family)
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
MOLLY PLATT PT
Physical Therapist
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (630) 297-1666
CATHERINE G WICKERT RN
Registered Nurse
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
JULIE WALKER
Health Educator
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
THE PETERSBURG MEDICAL CENTER
Skilled Nursing Facility
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
ANGELA DAWN MENISH APRN, FNP-BC
Nurse Practitioner (Family)
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4299
PHILIP J HOFSTETTER AUDIOLOGIST
Audiologist
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
MARGARET D FLEMING MS,RD,LD
Dietitian, Registered
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291

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 Adriene Kim Fedde's NPI number?

The NPI number for Adriene Kim Fedde is 1609915636. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Adriene Kim Fedde located?

Adriene Kim Fedde practices at 103 Fram Street, Petersburg, AK 99833. The listed phone number is (505) 819-8996.

What is Adriene Kim Fedde's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adriene Kim Fedde enrolled in Medicare?

Yes. Adriene Kim Fedde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Adriene Kim Fedde was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.