LEXUS R FEDORKO
NPI 1841160892
Nurse Practitioner in Beachwood, OH

Active since November 06, 2025PECOS EnrolledAccepts Medicare Assignment
3609 PARK EAST DR STE 207, BEACHWOOD, OH 44122(740) 275-7356 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lexus R Fedorko NPPES

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

LEXUS R FEDORKO (NPI 1841160892) is an individual nurse practitioner in Beachwood, Ohio, licensed in Ohio (APR.CNP.0040630) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1841160892
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLEXUS R FEDORKO
Location Address3609 PARK EAST DR STE 207Beachwood, OH 44122-4309
Mailing Address1106 Big Sky Blvd Apt 103Kent, OH 44240-8223 · (740) 275-7356
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 6, 2025
NPPES CertifiedOctober 15, 2025
NPI 1841160892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APR.CNP.0040630
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3609 PARK EAST DR STE 207, Beachwood, OH 44122

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

Lexus R Fedorko 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 ID4284127622
PECOS Enrollment IDI20251203003372
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.

Hospital Affiliations CMS Care Compare

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

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122
Nurse Practitioner (Family)
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122
Internal Medicine (Infectious Disease)
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122
Physician Assistant
3609 PARK EAST DR STE 207
CLEVELAND, OH 44122
Internal Medicine (Infectious Disease)
3609 PARK EAST DR STE 207
CLEVELAND, OH 44122
Nurse Practitioner (Acute Care)
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122
Student in an Organized Health Care Education/Training Program
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122
Internal Medicine (Infectious Disease)
3609 PARK EAST DR STE 207
BEACHWOOD, OH 44122

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 Lexus Fedorko's NPI number?

The NPI number for Lexus Fedorko is 1841160892. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Where is Lexus Fedorko located?

Lexus Fedorko practices at 3609 Park East Dr Ste 207, Beachwood, OH 44122. The listed phone number is (740) 275-7356.

What is Lexus Fedorko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lexus Fedorko enrolled in Medicare?

Yes. Lexus Fedorko 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 Lexus Fedorko affiliated with any hospitals?

According to CMS data, Lexus Fedorko is affiliated with University Hospitals Portage Medical Center.

When was this NPI record last updated?

The NPPES record for Lexus Fedorko was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.