KAEDI RAE FEHLBERG FNP - NPI 1811079163 - Nurse Practitioner in Elk River, MN

Q: What is Kaedi Fehlberg's NPI number?

The NPI number for Kaedi Fehlberg is 1811079163. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Kaedi Fehlberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kaedi Fehlberg was last updated on April 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kaedi Rae Fehlberg Fnp NPPES

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

KAEDI RAE FEHLBERG FNP (NPI 1811079163) is an individual acute care provider in Elk River, Minnesota, licensed in New York (430263) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811079163

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKAEDI RAE FEHLBERGCredential: FNP

Location Address800 FREEPORT AVE NW, SUITE 100AElk River, MN 55330-2723

Mailing Address800 Freeport Ave Nw, Suite 100aElk River, MN 55330-2723 · (763) 581-5200 · Fax (763) 581-5201

Phone(763) 581-5200

Fax(763) 581-5201

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateApril 4, 2012

✔ NPI 1811079163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in NY · 430263✔ Licensed in MN · R 199218-8

Also ListedRegistered NurseTaxonomy 163W00000X · License 540987 (NY)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 334565 (NY)

800 FREEPORT AVE NW, Elk River, MN 55330

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Other Identifiers 1

Medicare PIN500007100MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaedi Rae Fehlberg Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55330 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.