SARAH JEAN FEDDERSEN (PA-C) – Physician Assistant, NPI 1255538344

SARAH JEAN FEDDERSEN (PA-C) is a healthcare provider. based in Johnston, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 001817 (IA). The NPI Number for SARAH JEAN FEDDERSEN (PA-C) is 1255538344

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
SARAH JEAN FEDDERSEN (PA-C)
NPI
1255538344
Phone
(877) 891-5350
Address
8605 Chambery Blvd
Enumeration Date
2 July 2007
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193561616
Graduation Year
2007 (19 years ago)
PAC ID
5496846370
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20070807000388
Address ID
IA522421009IO200XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

Provider Addresses for SARAH JEAN FEDDERSEN (PA-C)

  • 8605 Chambery Blvd

    Johnston, IA 501318810

    Phone: (877) 891-5350

    Type: Location

  • 105 E 9th St

    Coralville, IA 522412209

    Phone: (319) 467-2000

    Fax: (319) 467-2410

    Type: Location

  • 2901 86th St

    Urbandale, IA 503224330

    Phone: (515) 457-2960

    Fax: (319) 356-3949

    Type: Location

  • 2943 Northgate Dr

    Iowa City, IA 522459571

    Phone: (319) 338-1197

    Fax: (319) 338-2199

    Type: Location

  • University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States

    IOWA CITY, IA 522421009

    Phone: (319) 356-2223

    Fax: (319) 353-6754

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070807000388IPhysician AssistantIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50131)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618884230View full group profile

Reviews

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Frequently asked questions

What number should I use to identify SARAH JEAN FEDDERSEN (PA-C) for billing?
Administrative and clinical systems typically use NPI 1255538344 for SARAH JEAN FEDDERSEN (PA-C).
Does the public listing show SARAH JEAN FEDDERSEN (PA-C) as active?
SARAH JEAN FEDDERSEN (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret SARAH JEAN FEDDERSEN (PA-C)'s specialty?
The extract shows Physician Assistant for SARAH JEAN FEDDERSEN (PA-C). Clinical services aligned with this taxonomy classification.
Is SARAH JEAN FEDDERSEN (PA-C) tied to Johnston, Iowa?
If you are local to Johnston, Iowa, SARAH JEAN FEDDERSEN (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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