Patricia F Fedorchak, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024169772 Issued in VA

Practice address

911 E Main St
Floyd, VA 24091

Phone

(540) 745-2031

NPI assigned

Oct 3, 2006

Last updated

Sep 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Aeriecare, LLC

  • Family Medicine Physician
  • Floyd, VA
  • NPI 1891362190
  NPD Authorized official
• Center for Vein Restoration MD LLC

  • Vascular Surgery Physician
  • Greenbelt, MD
  • NPI 1487772349
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1205920592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E MAIN ST",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240914183",
            "telephone_number": "540-745-2031",
            "fax_number": "540-745-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E MAIN ST",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "24091",
            "telephone_number": "540-745-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORCHAK",
        "first_name": "PATRICIA",
        "middle_name": "F",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002103200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eagles Nest Regeneration Inc.
• Daisy Maevell Edwards, NP
• Caroline Thomsen Egloff, PT, DPT
• Elder Care Answers, LLC
• Eye Candy Optical,LLC
• First Quality Rehab
• Floyd County Department of Social Services
• Floyd County Emergency Medical Services Inc
• Floyd County Public Schools
• Rima Forrest

• Family Nurse Practitioner in Floyd, VA
• Providers in Floyd, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.