JESSICA FEDORKA (PA) – Medical Physician Assistant, NPI 1982043188
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JESSICA FEDORKA (PA)
562 WASHINGTON ST
SOUTH ATTLEBORO, MA 027036942
Phone: (508) 761-5650
Type: Mailing
230 WASHINGTON ST
SOUTH ATTLEBORO, MA 027035518
Phone: (508) 761-5650
Fax: (508) 761-9870
Type: Location
35 PARKWOOD DR STE 205
HOPKINTON, MA 017481727
Phone: (508) 426-6222
Fax: (508) 686-7890
Type: Mailing
521 MOUNT HOPE ST STE 206H
NORTH ATTLEBORO, MA 027602611
Phone: (774) 643-0505
Fax: (774) 214-0050
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: 2022-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140306001865 | I | Physician Assistant | MA | TBD |
| I20220802001342 | I | Physician Assistant | RI | TBD |
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.
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 02703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Family Practice | MA | |
| Family Practice | MA | |
| - | MA | |
| Family Practice | RI | |
| Family Practice | MA | |
| Family Practice | MA | |
| - | MA |
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