1. Home
  2. Directory
  3. Wisconsin
  4. Glendale
  5. Psychologist
  6. NPI Profile

MRS. SHARON S FEDDERLY PHD
NPI 1619064441
Psychologist - Clinical in Glendale, WI

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
5900 N. PORT WASHINGTON RD SUITE 230, GLENDALE, WI 53217(414) 962-4048(414) 962-4052 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Sharon S Fedderly Phd NPPES

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

MRS. SHARON S FEDDERLY PHD (NPI 1619064441) is an individual clinical provider in Glendale, Wisconsin, licensed in Wisconsin (1452-57) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1619064441
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMRS. SHARON S FEDDERLYCredential: PHD
Location Address5900 N. PORT WASHINGTON RD SUITE 230Glendale, WI 53217
Mailing Address5900 N. Port Washington Rd Suite 230Glendale, WI 53217 · (414) 962-4048 · Fax (414) 962-4052
Phone(414) 962-4048
Fax(414) 962-4052
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 5, 2006
Last NPPES UpdateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1619064441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 1452-57
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 1452-057 (WI)
5900 N. PORT WASHINGTON RD SUITE 230, Glendale, WI 53217
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

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

Mrs. Sharon S Fedderly Phd 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 ID7113985367
PECOS Enrollment IDI20041221000033
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
231 services14 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
83 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53217 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Sharon Fedderly's NPI number?

The NPI number for Sharon Fedderly is 1619064441. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Sharon Fedderly located?

Sharon Fedderly practices at 5900 N. Port Washington Rd Suite 230, Glendale, WI 53217. The listed phone number is (414) 962-4048.

What is Sharon Fedderly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Sharon Fedderly enrolled in Medicare?

Yes. Sharon Fedderly 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.

What insurance does Sharon Fedderly accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 2 other insurers list Sharon Fedderly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sharon Fedderly was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.