Individual provider Active NPI

Cindy K Feddes, FNP

  • Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1427037290
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28869 Issued in MT
Practice address
1188 N 15TH Ave Ste 3
Bozeman, MT 59715-3290
Phone
(406) 582-1111
Fax
(406) 582-1112
NPI assigned
Jan 11, 2006
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28869 MT Primary

Addresses

Primary practice location

1188 N 15TH Ave Ste 3
Bozeman, MT 59715-3290

Mailing address

1188 N 15TH Ave Ste 3
Bozeman, MT 59715-3290
Phone (406) 582-1111

Other practice location 1

2055 N 22nd Ave
Ste 1
Bozeman, MT 59718
Phone (406) 582-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20051019000732 MT Practitioner - Nurse Practitioner 4688690605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equanimity Health Care PCGroup PAC ID 2365614369, 2 clinicians

Practice addresses (Care Compare)

1188 N 15TH Ave
Suite 3
Bozeman, MT 59715-3290
Phone (406) 582-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28869MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Peak Health and Wellness, PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDDBCA/Endpoint/CDDBCA

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1427037290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 N 15TH AVE STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153290",
            "telephone_number": "406-582-1111",
            "fax_number": "406-582-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 N 15TH AVE STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153290",
            "telephone_number": "406-582-1111",
            "fax_number": "406-582-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 N 22nd Ave",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "59718",
            "country_code": "US",
            "telephone_number": "406-582-1111",
            "fax_number": "406-582-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDDES",
        "first_name": "CINDY",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "28869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.