Active NPI
Michelle Kidder Fegeley, PA-C
- Physician Assistant
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-01978
- Practice address
- 11200 Governor Manly Way Ste 309
Raleigh, NC 27614-7375 - Phone
- (919) 562-9410
- Fax
- (919) 562-2948
- NPI assigned
- Nov 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-01978 | NC | Primary |
Addresses
Primary practice location
11200 Governor Manly Way Ste 309
Raleigh, NC 27614-7375
Mailing address
PO Box 1107
Wake Forest, NC 27588-1107
Phone (919) 562-9410
Other practice location 1
103 Professional Park Ste A
Oxford, NC 27565-2581
Phone (919) 562-9410
Other practice location 2
6602 Knightdale Blvd Ste 310
Knightdale, NC 27545-6526
Phone (919) 562-9410
Other practice location 3
200 W Parkview Dr Ste B
Henderson, NC 27536-5958
Phone (919) 562-9410
Other practice location 4
2605 Blue Ridge Rd Ste 320
Raleigh, NC 27607-6475
Phone (919) 562-9410
Other names 1
- Michelle Kidder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11221 Galleria Ave
Suite 101
Raleigh, NC 27614-8137
Phone (919) 562-9410
Hospital & facility affiliations
- Rex Hospital
- Wakemed, Raleigh Campus
- Granville Health Systems
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.06 of 100
- Quality
- 61.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialists of North Carolina, P.a. | Current | Accepting new patients | |
| Central Emergency Physicians, PLLC | Past | Accepting new patients |
Locations
200 W Parkview Dr
#B
Henderson, NC 27536
6602 Knightdale Blvd
Ste 310
Knightdale, NC 27545
103 Professional Park
Ste A
Oxford, NC 27565
Phone (919) 693-7108
5838 Six Forks Rd
Ste 100
Raleigh, NC 27609
11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247
11221 Galleria Ave
#101
Raleigh, NC 27614
Phone 9195629410213
1936 Golden Spur Ln
Wendell, NC 27591
Interoperability endpoints
- mfegeley109314@direct.medicine.duke.edu
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- michelle.fegeley.1@12529.direct.athenahealth.com
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.
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1649327750
-
- Emergency Medicine Physician
- Sanford, NC
- NPI 1164694683
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, NC
- NPI 1326061730
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1992032296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1107",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275881107",
"telephone_number": "919-562-9410",
"fax_number": "919-562-2948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 GOVERNOR MANLY WAY STE 309",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276147375",
"telephone_number": "919-562-9410",
"fax_number": "919-562-2948"
}
],
"practiceLocations": [
{
"address_1": "103 Professional Park Ste A",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "NC",
"postal_code": "275652581",
"country_code": "US",
"telephone_number": "919-562-9410",
"fax_number": "919-562-2948",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6602 Knightdale Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Knightdale",
"state": "NC",
"postal_code": "275456526",
"country_code": "US",
"telephone_number": "919-562-9410",
"fax_number": "919-562-2948",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Parkview Dr Ste B",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NC",
"postal_code": "275365958",
"country_code": "US",
"telephone_number": "919-562-9410",
"fax_number": "919-562-2948",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2605 Blue Ridge Rd Ste 320",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276076475",
"country_code": "US",
"telephone_number": "919-562-9410",
"fax_number": "919-562-2948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEGELEY",
"first_name": "MICHELLE",
"middle_name": "KIDDER",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-01978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "KIDDER",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.