DEVORA DIONNE FEDRICK
NPI 1699251959
Physician Assistant in Tampa, FL

Active since July 19, 2018PECOS EnrolledAccepts Medicare Assignment
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2026, Jun 8, 2021, Jul 20, 2018 (3 updates tracked since 2018).

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

NPI1699251959
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEVORA DIONNE FEDRICK
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-4673
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 19, 2018
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1699251959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · APRN11017806
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License ARNP9411595 (FL)
12902 USF MAGNOLIA DR, Tampa, FL 33612

Accepted 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

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.

PECOS PAC ID4688925068
PECOS Enrollment IDI20180925000004
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 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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612

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.

What insurance does Devora Fedrick accept?

Health plans from AvMed 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 4 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.