DEVORA DIONNE FEDRICK
NPI 1699251959
Physician Assistant in Tampa, FL
About Devora Dionne Fedrick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEVORA DIONNE FEDRICK (NPI 1699251959) is an individual physician assistant in Tampa, Florida, licensed in Florida (APRN11017806) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Devora Dionne Fedrick 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.
Medicare Billing Reassignments
3Medicare enrollment records show Devora Fedrick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33612
- Reassigned Medicare billing, Florida enrollment
- 992 clinicians in this Medicare group
Tampa, FL 33647
- Reassigned Medicare billing, Florida enrollment
- 419 clinicians in this Medicare group
Cape Coral, FL 33914
- Reassigned Medicare billing, Florida enrollment
- 880 clinicians in this Medicare group
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 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Devora Fedrick's NPI number?
The NPI number for Devora Fedrick is 1699251959. It was assigned to this individual provider in the NPPES registry on July 19, 2018.
Where is Devora Fedrick located?
Devora Fedrick practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-4673.
What is Devora Fedrick's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Devora Fedrick enrolled in Medicare?
Yes. Devora Fedrick 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.
Which organizations bill Medicare for Devora Fedrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Devora Fedrick reassigns Medicare benefits to 3 organizations: H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (Tampa, FL), Tampa General Medical Group Inc (Tampa, FL) and Florida Cancer Specialists & Research Institute, LLC (Cape Coral, FL). Each 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 Devora Fedrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Devora Fedrick accept?
Health plans from Ambetter Health, Ambetter of Alabama and UnitedHealthcare list Devora Fedrick 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 Devora Fedrick was last updated on April 21, 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.
# Devora Dionne Fedrick · NPI 1699251959
Physician Assistant physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since July 19, 2018.
## Identity
- **NPI:** 1699251959 (Entity type: Individual)
- **Enumerated:** July 19, 2018
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** APRN11017806 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 12902 USF MAGNOLIA DR, Tampa, FL 33612-9416
- **Phone:** (813) 745-4673
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (NPI 1306833595, Tampa, FL); Tampa General Medical Group Inc (NPI 1689000176, Tampa, FL); Florida Cancer Specialists & Research Institute, LLC (NPI 1760590962, Cape Coral, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699251959) · Data from the CMS NPPES public registry.