Michelle R. Fedon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

113212 Issued in NE

Practice address

8550 Cuthills Cir
Lincoln, NE 68526-9474

Phone

(402) 476-6060

Fax

(402) 476-6809

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

No

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.

• Ponca Tribe of Nebraska

  • Clinic/Center
  • Omaha, NE
  • NPI 1710172879
  Medicare reassignment Care Compare group NPD TX
• Lincoln Nephrology & Hypertension PC

  • Nephrology Physician
  • Lincoln, NE
  • NPI 1528077880
  Medicare reassignment NPD NE

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ponca Tribe of Nebraska 14 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NE, TX2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2020.

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1952913428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 N 58TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071104",
            "telephone_number": "402-440-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 CUTHILLS CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269474",
            "telephone_number": "402-476-6060",
            "fax_number": "402-476-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDON",
        "first_name": "MICHELLE",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Faust
• Isabella Rebecca Fauver
• Alison Renee Fayette
• Jodi Feauto, PHARM D
• Spencer Fecht, LAT, ATC
• Maryna Fedorenko
• Jennifer Feeney
• Todd E Feeney, PA
• Mari Feerhusen
• Diane Kay Fehringer, LMHP

• All providers in Lincoln, NE
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.