Individual provider Active NPI

Felicitas Fandreyer, FNP

  • Nurse Practitioner
  • Fitchburg, MA
National Provider Identifier
1548713308
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2286273 Issued in MA
Practice address
881 Main St
Fitchburg, MA 01420-3057
Phone
(978) 342-9781
NPI assigned
Jul 28, 2016
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 RN2286273 MA Primary

Addresses

Primary practice location

881 Main St
Fitchburg, MA 01420-3057

Mailing address

881 Main St
Fitchburg, MA 01420-3057
Phone (978) 342-9781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220830004078 MA Practitioner - Nurse Practitioner 2961886510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2286273MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Commonwealth of Massachusetts Nurse Practitioner CurrentSince Nov 6, 2025 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Nov 6, 2025 Accepting new patients

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, 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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1548713308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 MAIN ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203057",
            "telephone_number": "978-342-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 MAIN ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203057",
            "telephone_number": "978-342-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANDREYER",
        "first_name": "FELICITAS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2286273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.