Active NPI
Jessica Lynn Fedor, PA
- Physician Assistant
- Dublin, OH
National Provider Identifier
1548500606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.007514
- Practice address
- 5680 Venture Dr
Dublin, OH 43017-2190 - Phone
- (614) 722-2000
- NPI assigned
- Feb 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.007514 | OH | Primary |
Addresses
Primary practice location
5680 Venture Dr
Dublin, OH 43017-2190
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other practice location 1
150 W Main St
New Albany, OH 43054-9229
Phone (614) 722-2000
Other practice location 2
4363 All Seasons Dr
Hilliard, OH 43026-2050
Phone (614) 722-2000
Other practice location 3
7901 Diley Rd Ste 150
Canal Winchester, OH 43110-9613
Phone (161) 472-2620
Other practice location 4
584 County Line Rd
Westerville, OH 43081-1025
Phone (614) 722-2000
Other practice location 5
405 Butterfly Gardens Dr
Columbus, OH 43215-4985
Phone (614) 722-2000
Other practice location 6
536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0485426 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.007514 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Children's Hospital | Past | Accepting new patients |
Interoperability endpoints
- jessicahi@cerner.directbaptisthealth.com
Organizations & group practices 2
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.
-
- Pediatric Surgery Physician
- Columbus, OH
- NPI 1417905324
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1548500606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5680 VENTURE DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172190",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [
{
"address_1": "150 W Main St",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "OH",
"postal_code": "430549229",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4363 All Seasons Dr",
"address_purpose": "LOCATION",
"city": "Hilliard",
"state": "OH",
"postal_code": "430262050",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7901 Diley Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Canal Winchester",
"state": "OH",
"postal_code": "431109613",
"country_code": "US",
"telephone_number": "161-472-2620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "584 County Line Rd",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430811025",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154985",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "536 S Trimble Rd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449063418",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEDOR",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.007514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0485426",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.