MICHAEL JOHN FEDOR (CRNP) – Nurse Practitioner, NPI 1477647899

MICHAEL JOHN FEDOR (CRNP) is a healthcare provider. based in Hershey, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 26NJ00086500 (NJ). The NPI Number for MICHAEL JOHN FEDOR (CRNP) is 1477647899

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JOHN FEDOR (CRNP)
NPI
1477647899
Phone
(800) 243-1455
Address
PO BOX 858
Enumeration Date
2 October 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7179485180
Graduation Year
2002 (24 years ago)
PAC ID
0547260911
Group Practice PAC ID
3870405483
Professional Enrollment ID
I20070417000371
Address ID
PA170573548MI3100XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

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Provider Addresses for MICHAEL JOHN FEDOR (CRNP)

  • PO BOX 858

    MC A410

    HERSHEY, PA 170330858

    Phone: (800) 243-1455

    Type: Mailing

  • Schoolhouse Road, Middletown Springs, Rutland County, Vermont, 05757, United States

    MIDDLETOWN, PA 170573548

    Phone: (717) 948-5180

    Fax: (717) 948-0488

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-11-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-02

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: 2007-04-17

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
I20070417000371INurse PractitionerPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15789$0
99213Established patient office or other outpatient visit, 20-29 minutes12978$0
View full utilization report →

Insurance plans in this area (ZIP 17033)

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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: 3870405483View full group profile
NameSpecialtyState
P A T H O L O G YPA
Vascular SurgeryMD
O P H T H A L M O L O G YPA
-PA
Nurse PractitionerPA
-FL
-PA
-PA
Emergency MedicinePA
Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

How do payers reference MICHAEL JOHN FEDOR (CRNP)?
For MICHAEL JOHN FEDOR (CRNP), use NPI 1477647899 as the unique 10-digit identifier.
Is there an active status for MICHAEL JOHN FEDOR (CRNP)?
For scheduling context, MICHAEL JOHN FEDOR (CRNP) is shown as active in the registry.
What clinical focus is listed for MICHAEL JOHN FEDOR (CRNP)?
At a glance, MICHAEL JOHN FEDOR (CRNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL JOHN FEDOR (CRNP)?
Travel planning: use Hershey, Pennsylvania as the reference point for MICHAEL JOHN FEDOR (CRNP), then confirm.
Does MICHAEL JOHN FEDOR (CRNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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