ADRIENE KIM FEDDE MD
NPI 1609915636
Family Medicine in Petersburg, AK

NPI Status: Active since February 06, 2007

Contact Information

103 FRAM STREET
PETERSBURG, AK
ZIP 99833
Phone: (505) 819-8996

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  • Individual
  • Female
  • Years of Experience 21
  • Family Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ADRIENE KIM FEDDE

This page provides the complete NPI Profile along with additional information for Adriene Kim Fedde, a primary care provider established in Petersburg, Alaska with a medical specialization in Family Medicine and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1609915636 assigned on February 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 7230 (AK). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1609915636
Provider Name
ADRIENE KIM FEDDE MD
Gender
Female
Entity Type
Individual
Location Address
103 FRAM STREET PETERSBURG, AK 99833
Location Phone
(505) 819-8996
Mailing Address
PO BOX 150 FRISCO, CO 80443
Mailing Phone
(505) 819-8996
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
Yes
Enumeration Date
02-06-2007
Last Update Date
06-22-2021
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A primary care provider (PCP) like Adriene Kim Fedde sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 10350 E Dakota Ave
    Denver, CO 80247
    (303) 338-4545

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
7230
License State
AK
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

DR.0054942 (CO)

Medicare Participation & PECOS Enrollment Status

Adriene Kim Fedde is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Adriene Kim Fedde is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4284791559

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20130717000843, I20170228000895

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $27.89 for a new patient copayment and $32.18 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 99833 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $111.57
  • Minimum New Patient Price $71.33
  • Maximum New Patient Price $222.64
  • Average New Patient Copayment $27.89
  • Minimum New Patient Copayment $17.83
  • Maximum New Patient Copayment $55.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $128.73
  • Minimum Established Patient Price $21.84
  • Maximum Established Patient Price $181.48
  • Average Established Patient Copayment $32.18
  • Minimum Established Patient Copayment $5.46
  • Maximum Established Patient Copayment $45.37

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for ADRIENE KIM FEDDE MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609915636
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091811066
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 1 + 1 + 0 + 6 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1609915636 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942237441 MARK W TUCCILLO DO
Individual
Family Medicine (Sports Medicine)103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4299
1902909542 SHARON M HUNTER RN
Individual
Registered Nurse103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1376641092 MARGARET D FLEMING MS,RD,LD
Individual
Dietitian, Registered103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1639237159PETERSBURG MEDICAL CENTER
Organization
Nursing Facility/Intermediate Care Facility103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1407161706 LARAINE K SMITH RNC
Individual
Registered Nurse103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1659671949 CANDYCE A JONES RN
Individual
Registered Nurse103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1093082497 CATHERINE G WICKERT RN
Individual
Registered Nurse103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1104984954THE PETERSBURG MEDICAL CENTER
Organization
Skilled Nursing Facility103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1790845204THE PETERSBURG MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1457746109 ERIN MICHAEL
Individual
Registered Nurse103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4611
1013369206 ELIZABETH POOLE
Individual
Nurse Practitioner (Family)103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1215002068 PHILIP J HOFSTETTER AUDIOLOGIST
Individual
Audiologist103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1063053353 MOLLY PLATT PT
Individual
Physical Therapist103 FRAM STREET
PETERSBURG, AK 99833
(630) 297-1666
1760005037 STACIE MCKINLEY
Individual
Physical Therapist103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1609936111PETERSBURG MEDICAL CENTER
Organization
Registered Nurse103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1972666345PETERSBURG MEDICAL CENTER
Organization
Family Medicine103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4299
1942511159DR. SELINA ANDREA BURT D.O.
Individual
Family Medicine103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1104588300 JULIE WALKER
Individual
Health Educator103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291
1750944260 BECKY ANN TURLAND
Individual
Health Educator103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-5580
1790844033THE PETERSBURG MEDICAL CENTER
Organization
Home Health103 FRAM STREET
PETERSBURG, AK 99833
(907) 772-4291

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609915636, enumerated in the NPI registry as an "individual" on February 06, 2007

The provider is located at 103 Fram Street Petersburg, Ak 99833 and the phone number is (505) 819-8996

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 21 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $111.57 with an average copayment of $27.89 for new patient appointments. Established patients should expect a typical charge of $128.73 and an average copayment of 32.18. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.