MS. NIKKI LYNN FEDEL (PAC) – Surgical Physician Assistant, NPI 1073756151

MS. NIKKI LYNN FEDEL (PAC) is a healthcare provider. based in Marshfield, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 101528 (WI). The NPI Number for MS. NIKKI LYNN FEDEL (PAC) is 1073756151

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. NIKKI LYNN FEDEL (PAC)
NPI
1073756151
Phone
(171) 538-9078
Address
1000 N OAK AVE
Enumeration Date
20 April 2009
Last Update Date
12 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702985864
Graduation Year
2008 (18 years ago)
PAC ID
4587703103
Group Practice PAC ID
3779707856
Professional Enrollment ID
I20091120000135
Address ID
CO815018121GR1050XAVEX301

Contacts

Secure Messaging
him@marshfieldclinichealthsystem.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for MS. NIKKI LYNN FEDEL (PAC)

  • 1000 N OAK AVE

    Marshfield, WI 544495703

    Phone: (171) 538-9078

    Type: Location

  • 6600, East 2nd Street, Casper, Natrona County, Wyoming, 82609, United States

    CASPER, WY 826094348

    Phone: (307) 266-4000

    Fax: (307) 266-4545

    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: 2024-03-26

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
I20091120000135IPhysician AssistantCOTBD
I20240326002115IPhysician AssistantWITBD

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 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 54449)

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Provider's Procedures

MS. NIKKI LYNN FEDEL (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWY22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments2624

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: 3779707856View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCO
Internal MedicineTX
Nurse PractitionerCO
-CO
-CO
Cardiovascular Disease (Cardiology)VA
Physician AssistantCO
Physician AssistantWV
Internal MedicineNJ
-CO

Reviews

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Frequently asked questions

Is MS. NIKKI LYNN FEDEL (PAC) listed with a National Provider Identifier?
Yes — MS. NIKKI LYNN FEDEL (PAC) has NPI 1073756151 on file in the registry.
Active or inactive — what applies to MS. NIKKI LYNN FEDEL (PAC)?
You should see MS. NIKKI LYNN FEDEL (PAC) as active in CMS-hosted NPPES data.
What area of care is associated with MS. NIKKI LYNN FEDEL (PAC)?
MS. NIKKI LYNN FEDEL (PAC)'s record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. NIKKI LYNN FEDEL (PAC)?
Directory geography for MS. NIKKI LYNN FEDEL (PAC) centers on Marshfield, Wisconsin.
When was this NPI issued?
Enumeration for MS. NIKKI LYNN FEDEL (PAC) is noted as April 20, 2009 where the registry provides it.

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