Individual provider Active NPI

Victoria C Feidt, CRNP

  • Family Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1093256695
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017203 Issued in PA
Practice address
3301 Trindle Rd
Camp Hill, PA 17011-4413
Phone
(717) 412-7859
Fax
(717) 965-3214
NPI assigned
Mar 15, 2017
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017203 PA Primary

Addresses

Primary practice location

3301 Trindle Rd
Camp Hill, PA 17011-4413

Mailing address

3301 Trindle Rd
Camp Hill, PA 17011-4413
Phone (717) 412-7859

Other identifiers 1

IdentifierTypeStateIssuer
103274772MedicaidPA

Other names 1

  • Victoria C Daubert Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vfeidt10238@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170502000574 PA Practitioner - Nurse Practitioner 3375820251 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2017 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2017 Accepting new patients
CRHS@ Hamilton Health Center Past Accepting new patients

Locations

3301 Trindle Rd
Camp Hill, PA 17011
Phone (717) 412-7859

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

805 Sir Thomas Ct
Ste 2
Harrisburg, PA 17109
Phone (717) 657-3030

1000 Evelyn Dr
Millersburg, PA 17061
Phone (717) 230-3700

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1093256695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114413",
            "telephone_number": "717-412-7859",
            "fax_number": "717-965-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114413",
            "telephone_number": "717-412-7859",
            "fax_number": "717-965-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIDT",
        "first_name": "VICTORIA",
        "middle_name": "C",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103274772",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vfeidt10238@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "3301 Trindle Rd",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "DAUBERT",
            "middle_name": "C",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.