Individual provider Active NPI

Fedna Morency, P.A.-C, ATC

  • Surgical Physician Assistant
  • San Francisco, CA
National Provider Identifier
1013108562
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00341400 Issued in NJ
Practice address
1825 4TH St FL 6
San Francisco, CA 94143-2350
Phone
(415) 885-3800
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL2282 FL
Physician Assistant 363A00000X 25MP00341400 NJ
Physician Assistant 363A00000X 5049 SC
Physician Assistant 363A00000X 59880 CA
Surgical Physician Assistant 363AS0400X 25MP00341400 NJ Primary

Addresses

Primary practice location

1825 4TH St FL 6
San Francisco, CA 94143-2350

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

20 Prospect Ave Ste 901
Hackensack, NJ 07601-1974
Phone (551) 996-8867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SD, CA, OR, GA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20141016000278 NJ Practitioner - Physician Assistant 1759502750 Reassigns benefits to 1 organization
I20210521001531 SD Practitioner - Physician Assistant 1759502750 Reassigns benefits to 1 organization
I20220901002754 CA Practitioner - Physician Assistant 1759502750 Reassigns benefits to 5 organizations
I20231017000858 OR Practitioner - Physician Assistant 1759502750 Reassigns benefits to 1 organization
I20250115002034 GA Practitioner - Physician Assistant 1759502750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rutgers New Jersey Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
Quality
69.6
Promoting interoperability
100
Improvement activities
40
Cost
76.59

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
59880CAMDPharmacist
1299SDMDPhysical Therapist
AL2282FLMDAthletic Trainer
25MP00341400NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince Apr 30, 2021 Accepting new patients
University of California San Francisco CurrentSince Aug 17, 2022 Accepting new patients
University of California San Francisco CurrentSince Aug 17, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 17, 2022 Accepting new patients
Monument Health Network, Inc. CurrentSince Apr 30, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 1, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Sep 18, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

20 Prospect Ave
Ste 901
Hackensack, NJ 07601
Phone (201) 343-6870

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Interoperability endpoints

  • Direct secure messaging: fmorency2959680@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: fedna.morency@hca5.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1013108562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 4TH ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432350",
            "telephone_number": "415-885-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Prospect Ave Ste 901",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011974",
            "country_code": "US",
            "telephone_number": "551-996-8867",
            "fax_number": "551-996-8873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENCY",
        "first_name": "FEDNA",
        "name_prefix": "Miss",
        "credential": "P.A.-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL2282",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00341400",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5049",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59880",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00341400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.