SAMANTHA FEDOROWICZ PA-C
NPI 1851024145
Physician Assistant in Madison, WI

Q: What is Samantha Fedorowicz's NPI number?

The NPI number for Samantha Fedorowicz is 1851024145. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Q: What is Samantha Fedorowicz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since July 05, 2022PECOS EnrolledAccepts Medicare Assignment

1211 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 288-6490 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Jul 5, 2022 (2 updates tracked since 2022).

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About Samantha Fedorowicz Pa-c NPPES

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

SAMANTHA FEDOROWICZ PA-C (NPI 1851024145) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (8010-23) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1851024145

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA FEDOROWICZCredential: PA-C

Location Address1211 FISH HATCHERY RDMadison, WI 53715-1909

Mailing Address1805 Beld StMadison, WI 53713-1309 · (608) 807-9754

Phone(608) 252-8000

Fax(608) 288-6490

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 5, 2022

Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1851024145 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 WI · 8010-23

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1211 FISH HATCHERY RD, Madison, WI 53715

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Secondary Practice Location 1

Location 11805 Beld StMadison, WI 53713-1309 · Phone (608) 807-9754

Other Identifiers 1

Medicaid1851024145WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Samantha Fedorowicz Pa-c 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 ID6204362601

PECOS Enrollment IDI20241209003093

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 3

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

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520057

Location707 14th StBaraboo, WI 53913 · Sauk County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521343

Location900 Ridge StStoughton, WI 53589 · Dane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

CHANDLER K REINHOLTZ PT

Physical Therapist