NPIMap

Individual provider Active NPI

Jennifer Joy Fedak, P.A.

  • Physician Assistant
  • Bradenton, FL
National Provider Identifier
1851619910
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104843 Issued in FL
Practice address
7622 Heyward Cir
Bradenton, FL 34201-2048
Phone
(239) 223-2275
NPI assigned
May 13, 2010
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104843 FL Primary

Addresses

Primary practice location

7622 Heyward Cir
Bradenton, FL 34201-2048

Mailing address

7622 Heyward Cir
Bradenton, FL 34201-2048
Phone (239) 223-2275

Other practice location 1

11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7222

Other names 1

  • Jennifer Joy Pandya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000696 FL Practitioner - Physician Assistant 2668505736 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shadrick Kralik MD PAGroup PAC ID 4789097742, 18 clinicians

Practice addresses (Care Compare)

2198 Main St
Sarasota, FL 34237-6024
Phone (941) 315-9155

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4671AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists LLC CurrentSince Mar 30, 2015 Accepting new patients
Florida Medical Specialists LLC CurrentSince Mar 30, 2015 Accepting new patients
Jackson Medical Enterprise Past Accepting new patients
Florida Medical Specialists LLC Past Accepting new patients
HPP Physicians LLC PastSince Jul 16, 2023 Accepting new patients
Lower Keys Inpatient Services, LLC Past Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Physician Assistant Past Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Past Accepting new patients
Comprehensive Hospitalist Services of Naples LLC Past Accepting new patients

Locations

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

3844 Bee Ridge Rd
Fl 2
Sarasota, FL 34233
Phone (941) 202-5342

Interoperability endpoints

  • Direct secure messaging: shadrickkralikmd.jenniferpandya@148571.advancedmd-direct.com

Organizations & group practices 12

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1851619910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 HEYWARD CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342012048",
            "telephone_number": "239-223-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 HEYWARD CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342012048",
            "telephone_number": "239-223-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11190 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341105729",
            "country_code": "US",
            "telephone_number": "239-552-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDAK",
        "first_name": "JENNIFER",
        "middle_name": "JOY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2026-09-29",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PANDYA",
            "middle_name": "JOY",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.