Individual provider Active NPI

Susan Marie Collins, RPA-C, ATC

  • Surgical Physician Assistant
  • West Palm Beach, FL
National Provider Identifier
1831221282
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9103028 Issued in FL
Practice address
7240 7TH PL N
West Palm Beach, FL 33411-3801
Phone
(561) 969-6663
Fax
(561) 969-7760
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9103028 FL Primary

Addresses

Primary practice location

7240 7TH PL N
West Palm Beach, FL 33411-3801

Mailing address

7162 Saratoga Waters Way
Lake Worth, FL 33467-7758
Phone (561) 512-9446

Other names 1

  • Ms. Susan Marie Fedkiw Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170515002223 FL Practitioner - Physician Assistant 9234416587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach County Fire Fighters Health Clinic LLCGroup PAC ID 0143651679, 12 clinicians

Practice addresses (Care Compare)

7240 7TH PL N
West Palm Beach, FL 33411-3801
Phone 5619696663268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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 5

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1831221282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7162 SARATOGA WATERS WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677758",
            "telephone_number": "561-512-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 7TH PL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113801",
            "telephone_number": "561-969-6663",
            "fax_number": "561-969-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9103028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FEDKIW",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "RPA-C, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.