JESSICA FEDIE (PA-C) – Physician Assistant, NPI 1396179586

JESSICA FEDIE (PA-C) is a healthcare provider. based in Saint paul, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1972 (MN). The NPI Number for JESSICA FEDIE (PA-C) is 1396179586

Main info

Female
13 Years Of Experience
Name
JESSICA FEDIE (PA-C)
NPI
1396179586
Phone
Not provided
Address
255 SMITH AVE N
Enumeration Date
25 August 2013
Last Update Date
13 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4154761000
Graduation Year
2013 (13 years ago)
PAC ID
2961636345
Group Practice PAC ID
6305160300
Professional Enrollment ID
I20170918003554
Address ID
CA941432204SA505XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:12State licenses:3Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

Provider Addresses for JESSICA FEDIE (PA-C)

  • 255 SMITH AVE N

    SUITE 100

    SAINT PAUL, MN 551022572

    Phone:

    Type: Mailing

  • 333 SMITH AVE N

    SAINT PAUL, MN 551022344

    Phone: (651) 241-5000

    Fax: (651) 241-5511

    Type: Location

  • 250 BON AIR RD

    GREENBRAE, CA 949041702

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($92).

Total Amount

$114

General + Research + Ownership

Payments

2

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

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: 2017-09-18

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
I20131025000001IPhysician AssistantMNTBD
I20170918003554IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99238Hospital discharge day management, 30 minutes or less1212$0
View full utilization report →

Insurance plans in this area (ZIP 55102)

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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: 6305160300View full group profile
NameSpecialtyState
General SurgeryCA
Cardiac Electrophysiology, Internal Medicine, Nuclear Medicine, Cardiovascular Disease (Cardiology)CA
Surgical OncologyCA
Orthopedic SurgeryCA
Sports Medicine, Orthopedic SurgeryCA
-CA
P S Y C H I A T R YCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA

Reviews

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Frequently asked questions

Can I verify JESSICA FEDIE (PA-C) with an NPI only?
You can start verification with NPI 1396179586 for JESSICA FEDIE (PA-C), then check state licensing separately.
Is JESSICA FEDIE (PA-C) still practicing?
JESSICA FEDIE (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does JESSICA FEDIE (PA-C) hold?
Scheduling teams often label JESSICA FEDIE (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JESSICA FEDIE (PA-C) based?
JESSICA FEDIE (PA-C) is tied to Saint Paul, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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