Individual provider Active NPI

Sarah Feddersen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chico, CA
National Provider Identifier
1609325810
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5691 Issued in CA
Practice address
1806 Foundation LN
Chico, CA 95928-9206
Phone
(530) 701-1862
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5691 CA Primary

Addresses

Primary practice location

1806 Foundation LN
Chico, CA 95928-9206

Mailing address

1806 Foundation LN
Chico, CA 95928-9206
Phone (530) 891-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210308002851 CA Practitioner - Podiatry 7517373012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstate Foot and Ankle Specialist IncGroup PAC ID 3870840812, 7 clinicians

Practice addresses (Care Compare)

2216 Buenaventura Blvd
Suite a
Redding, CA 96001-3838
Phone (530) 221-1666

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
87.38 of 100Reported as individual
Quality
77.06
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue76
Removal of skin lesions24
Removal of nail tissue1241
Removal or shaving of skin growth1029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5691CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstate Foot & Ankle Specialist Inc Foot & Ankle Surgery CurrentSince Mar 1, 2021 Accepting new patients
Northstate Foot & Ankle Specialist Inc Foot & Ankle Surgery CurrentSince Mar 1, 2021 Accepting new patients

Locations

1806 Foundation Ln
Chico, CA 95928
Phone (530) 891-3338

2216 Buenaventura Blvd
Ste A
Redding, CA 96001
Phone (530) 221-1666

Interoperability endpoints

  • Direct secure messaging: sarah.feddersen.1@17799.direct.athenahealth.com
  • Direct secure messaging: sfedderson56160@enloedirect.org

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.

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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1609325810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 FOUNDATION LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289206",
            "telephone_number": "530-891-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 FOUNDATION LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289206",
            "telephone_number": "530-701-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDERSEN",
        "first_name": "SARAH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.