Samuel T Feyder, PA-C
Individual provider Active NPI Physician Assistant · Crosby, MN
NPI 1629550975 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1629550975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 12829 (MN)
- Practice address
- 320 East Main Street
Crosby, MN 56441 - Phone
- (218) 546-7000
- Fax
- (218) 546-4400
- NPI assigned
- Sep 4, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181126003997 | MN | Practitioner - Physician Assistant | 5698029957 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuyuna Regional Medical Center | Current |
Accepting new patients | |
| Cuyuna Regional Medical Center | Current |
Accepting new patients |
Locations
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MN | ||
| Physician Assistant | 363A00000X | 12829 | MN | Yes |
Addresses
Primary practice location
320 East Main Street
Crosby, MN 56441
Mailing address
320 East Main Street
Crosby, MN 56441
Phone (218) 546-7000
Other providers in Crosby, MN
- Kristin Kay Elliott
- Hannah Mary Salk Elsenpeter
- Alisha Elsperger
- Adam R English
- Heather Erickson
- Laura B Fier
- Jeffrey Paul Fish
- Matthew Francis Fleming
- Kenneth Gerard Fogal
- Brittany M Fox
All providers in Crosby, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.