SUSAN THERESE FEDEWA DO
NPI 1750336004
Emergency Medicine in Jackson, MI

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
205 N EAST AVE, JACKSON, MI 49201(517) 788-4800(517) 796-6410 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susan Therese Fedewa Do NPPES

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

SUSAN THERESE FEDEWA DO (NPI 1750336004) is an individual emergency medicine provider in Jackson, Michigan, licensed in Michigan (5101010021) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1750336004
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSUSAN THERESE FEDEWACredential: DO
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing AddressDepartment 272801, Po Box 67000Detroit, MI 48267-2728 · (517) 841-6913 · Fax (517) 841-6917
Fax(517) 796-6410
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 24, 2006
Last NPPES UpdateNovember 23, 2007
NPI 1750336004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 5101010021
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
205 N EAST AVE, Jackson, MI 49201

Other Names 1

Other Name (5)Susan Therese Tartalone

Other Identifiers 3

Medicare UPINE68629MI
Medicare PINMM88560048MI
OtherP00312682MI · Rr Medicare

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

Susan Therese Fedewa Do 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 ID7810896214
PECOS Enrollment IDI20040811001267
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 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
82 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services62 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
50 services48 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
39 services31 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
38 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Anesthesiology
205 N EAST AVE
JACKSON, MI 49201
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201

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 Susan Fedewa's NPI number?

The NPI number for Susan Fedewa is 1750336004. It was assigned to this individual provider in the NPPES registry on May 24, 2006. The provider is also known as Susan Therese Tartalone.

Where is Susan Fedewa located?

Susan Fedewa practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 788-4800.

What is Susan Fedewa's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Susan Fedewa enrolled in Medicare?

Yes. Susan Fedewa 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.

Is Susan Fedewa affiliated with any hospitals?

According to CMS data, Susan Fedewa is affiliated with Mclaren Greater Lansing, Edward W Sparrow Hospital and Sparrow Clinton Hospital.

When was this NPI record last updated?

The NPPES record for Susan Fedewa was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.