MRS. CHARITO FEDDERSEN APRN
NPI 1992468409
Nurse Practitioner - Family in Vallejo, CA

Active since October 21, 2021PECOS EnrolledAccepts Medicare Assignment
415 GEORGIA ST, VALLEJO, CA 94590(707) 556-8100 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2021, Oct 21, 2021 (2 updates tracked since 2021).

About Mrs. Charito Feddersen Aprn NPPES

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

MRS. CHARITO FEDDERSEN APRN (NPI 1992468409) is an individual family provider in Vallejo, California, licensed in California (95018906) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in American Canyon, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992468409
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CHARITO FEDDERSENCredential: APRN
Location Address415 GEORGIA STVallejo, CA 94590-6004
Mailing AddressPo Box 22210Oakland, CA 94623-2210
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 21, 2021
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
NPI 1992468409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95018906
415 GEORGIA ST, Vallejo, CA 94590

Secondary Practice Location 1

Location 13433 Broadway St Ste B5American Canyon, CA 94503-1229 · Phone (707) 561-9005

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

Mrs. Charito Feddersen Aprn 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 ID4688062060
PECOS Enrollment IDI20211104001357
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

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.

Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94590 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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 16

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

Physician Assistant
415 GEORGIA ST
VALLEJO, CA 94590
Dentist (General Practice)
415 GEORGIA ST
VALLEJO, CA 94590
Marriage & Family Therapist
415 GEORGIA ST
VALLEJO, CA 94590
Family Medicine
415 GEORGIA ST
VALLEJO, CA 94590
Internal Medicine (Diabetology)
415 GEORGIA ST
VALLEJO, CA 94590
Family Medicine
415 GEORGIA ST
VALLEJO, CA 94590
Family Medicine
415 GEORGIA ST
VALLEJO, CA 94590
Dentist (General Practice)
415 GEORGIA ST
VALLEJO, CA 94590

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 Charito Feddersen's NPI number?

The NPI number for Charito Feddersen is 1992468409. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Charito Feddersen located?

Charito Feddersen practices at 415 Georgia St, Vallejo, CA 94590. The listed phone number is (707) 556-8100.

What is Charito Feddersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charito Feddersen enrolled in Medicare?

Yes. Charito Feddersen 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.

When was this NPI record last updated?

The NPPES record for Charito Feddersen was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.