Kimberly Faith Fedkiw, FNP, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F333039-1 Issued in NY

Practice address

4267 Transit Rd
Williamsville, NY 14221-7205

Phone

(716) 204-0798

Fax

(716) 632-2457

NPI assigned

Jul 2, 2006

Last updated

Sep 23, 2020By 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 4

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Buffalo Internist & Associates LLC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1134381031
  Medicare reassignment NPD
• Roswell Park Cancer Institute

  • Multi-Specialty Clinic/Center
  • Buffalo, NY
  • NPI 1720036593
  Medicare reassignment NPD
• Wyoming County

  • Emergency Medicine Physician
  • Warsaw, NY
  • NPI 1407060759
  Medicare reassignment NPD
• Apogee Medical Group, New York, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1841520236

  NY

  Medicare reassignment NPD
• Roswell Park Cancer Institute

  • Pharmacy
  • Williamsville, NY
  • NPI 1871379586
  NPD
• Wyoming County

  • Internal Medicine Physician
  • Warsaw, NY
  • NPI 1184030017
  NPD
• Wyoming County

  • Rural Acute Care Hospital
  • Warsaw, NY
  • NPI 1316924913
  NPD
• Wyoming County

  • Surgery Physician
  • Warsaw, NY
  • NPI 1811385065
  NPD
• Exigence Hospitalist Medical Services of Erie County, PLLC

  • Emergency Medicine Physician
  • Buffalo, NY
  • NPI 1366636730
  NPD (past)
• Exigence Hospitalist Medical Services of Olean, PLLC

  • Hospitalist Physician
  • Olean, NY
  • NPI 1417179094
  NPD (past)
• Mobile Nurse Practitioners

  dba Homelink Medical Services

  • Gerontology Nurse Practitioner
  • Williamsville, NY
  • NPI 1740219633
  NPD (past)
• Mobile Nurse Practitioners

  dba Homelink Medical Services

  • Family Nurse Practitioner
  • Williamsville, NY
  • NPI 1851317903
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1447289236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 TRANSIT RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217205",
            "telephone_number": "716-204-0798",
            "fax_number": "716-632-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4267 TRANSIT RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217205",
            "telephone_number": "716-204-0798",
            "fax_number": "716-632-2457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Elm St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031104",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDKIW",
        "first_name": "KIMBERLY",
        "middle_name": "FAITH",
        "credential": "FNP, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333039-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIEL",
            "identifier": "00060970004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027261403",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02672984",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F333039-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Fattore
• Michelle B Fax, PTA
• David E Fay, M.D.
• FDR Medical Services P.C.
• Diane Federowicz, LPN
• Terry Fehr
• Kristen M Feldmann, LPN
• Maria Lisa Feller, MSED.
• R Keith Felstead, D.O.
• Stewart M Fenigstein, DDS PC

• Family Nurse Practitioner in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.