MR. CHRISTOPHER A FEGLEY (PA) – Physician Assistant, NPI 1003814476

MR. CHRISTOPHER A FEGLEY (PA) is a healthcare provider. based in Detroit, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 10003719A (IN). The NPI Number for MR. CHRISTOPHER A FEGLEY (PA) is 1003814476

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHRISTOPHER A FEGLEY (PA)
NPI
1003814476
Phone
(517) 841-6913
Address
PO BOX 67000
Enumeration Date
11 July 2005
Last Update Date
14 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2606726443
Graduation Year
2000 (26 years ago)
PAC ID
0648224352
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20221108000266
Address ID
IN468451701FO11115DRXX400

Contacts

Secure Messaging
christopher.fegley@lutheranhealthnetwork.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for MR. CHRISTOPHER A FEGLEY (PA)

  • PO BOX 67000

    DEPARTMENT 272801

    DETROIT, MI 482670002

    Phone: (517) 841-6913

    Fax: (517) 841-6917

    Type: Mailing

  • 7910 W JEFFERSON BLVD STE 102

    FORT WAYNE, IN 468044159

    Phone: (260) 458-3555

    Fax: (260) 458-3530

    Type: Location

  • 1100, Michigan Avenue, Jackson Heights, Muscle Shoals, Colbert County, Alabama, 35661, United States

    SUITE 301

    JACKSON, MI 492011847

    Phone: (517) 817-7605

    Fax: (517) 817-7606

    Type: Location

  • 6920 POINTE INVERNESS WAY STE 200

    FORT WAYNE, IN 468047934

    Phone: (260) 479-3514

    Fax: (260) 479-3520

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Ethicon US, LLC ($31).

Total Amount

$86

General + Research + Ownership

Payments

5

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-11-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080430000873IPhysician AssistantMITBD
I20221108000266IPhysician AssistantINTBD

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 48267)

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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: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

What is the standard ID for MR. CHRISTOPHER A FEGLEY (PA) in the U.S.?
In the U.S., MR. CHRISTOPHER A FEGLEY (PA) is identified by NPI 1003814476.
Should I treat MR. CHRISTOPHER A FEGLEY (PA) as an active provider?
Patients and plans typically see MR. CHRISTOPHER A FEGLEY (PA) as active in the national extract.
What does the directory say MR. CHRISTOPHER A FEGLEY (PA) does?
Insurance directories may phrase it differently, but here MR. CHRISTOPHER A FEGLEY (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. CHRISTOPHER A FEGLEY (PA) tied to Detroit, Michigan?
If you are local to Detroit, Michigan, MR. CHRISTOPHER A FEGLEY (PA) may be relevant to your search.
Can I export MR. CHRISTOPHER A FEGLEY (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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