MRS. HEATHER NICOLE BORING FEDOR (APN-C) – Family Nurse Practitioner, NPI 1376959726

MRS. HEATHER NICOLE BORING FEDOR (APN-C) is a healthcare provider. based in Knoxville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APN-C. They hold a License No. 18776 (TN). The NPI Number for MRS. HEATHER NICOLE BORING FEDOR (APN-C) is 1376959726

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HEATHER NICOLE BORING FEDOR (APN-C)
NPI
1376959726
Phone
(865) 670-0591
Address
9137 MIDDLEBROOK PIKE
Enumeration Date
7 July 2014
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8444436246
Graduation Year
2014 (12 years ago)
PAC ID
1456571967
Group Practice PAC ID
3072919315
Professional Enrollment ID
I20250203002228
Address ID
MI494443748NO493XXAVEX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MRS. HEATHER NICOLE BORING FEDOR (APN-C)

  • 9137 MIDDLEBROOK PIKE

    KNOXVILLE, TN 379231425

    Phone: (865) 670-0591

    Type: Mailing

  • 1907 BORDER AVE

    TORRANCE, CA 905013606

    Phone: (844) 443-6246

    Fax: (833) 907-2235

    Type: Location

  • 9137 Middlebrook Pike

    Knoxville, TN 379231425

    Phone: (865) 670-0825

    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 $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-03-23 • Largest payer in this snapshot: Phadia US Inc. ($68).

Total Amount

$68

General + Research + Ownership

Payments

1

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Phadia US Inc.$68
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: 2025-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20141006001055INurse PractitionerTNTBD
I20241206001590INurse PractitionerCATBD
I20241230000483INurse PractitionerNYTBD
I20250203002228INurse PractitionerMITBD
I20250307000345INurse PractitionerNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 37923)

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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: 3072919315View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physician AssistantNY
Emergency Medicine, Internal MedicineNY
Nurse PractitionerNY
Physician AssistantNY
Physician AssistantTN
Physician AssistantCT
Physician AssistantNY

Reviews

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Frequently asked questions

What NPI should I save for MRS. HEATHER NICOLE BORING FEDOR (APN-C)?
Save NPI 1376959726 if you need a stable reference for MRS. HEATHER NICOLE BORING FEDOR (APN-C).
Does this profile mean MRS. HEATHER NICOLE BORING FEDOR (APN-C) is currently active?
Yes — MRS. HEATHER NICOLE BORING FEDOR (APN-C) appears active in the national provider directory.
Does MRS. HEATHER NICOLE BORING FEDOR (APN-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. HEATHER NICOLE BORING FEDOR (APN-C). Clinical services aligned with this taxonomy classification.
Does MRS. HEATHER NICOLE BORING FEDOR (APN-C) practice in Tennessee?
You will see Knoxville, Tennessee on file for MRS. HEATHER NICOLE BORING FEDOR (APN-C) alongside any extra practice locations.
What if Knoxville, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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