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Krista Ali Fedorchak , MS, RDN, CDN

Dietitian, Registered β€’ Ithaca, NY

Active NPI 1497271167 Individual Practitioner Female Practitioner
Practice location in NPPES

310 Taughannock Blvd
Ithaca, NY 148503251

Call 6072523590 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

310 Taughannock Blvd

Ithaca, NY 148503251

Telephone 6072523590
Organization at the Same NPPES Address or Phone
Creative Orthotics & Prosthetics, Inc. Facility NPI 1871683003

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Krista Fedorchak has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Ithaca and New York

28 active clinicians are listed under Dietitian, Registered with a practice address in Ithaca, NY (4,725 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ithaca

0% of these 28 clinicians have the CMS telehealth indicator.

7.1% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-02-08
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES None 86046225

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20240122002510

Enrollment State Jurisdiction

TX

PECOS Control ID

4183076565

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Donna Sandidge , MD

Internal Medicine

NPI 1770557209

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address May 05, 2020

Registered at 310 TAUGHANNOCK BLVD, ITHACA, NY 148503251

πŸ‘€
Provider Name / Credentials Updated May 05, 2020

Recorded as KRISTA FEDORCHAK, MS, RDN, CDN

βœ…
NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 15, 2017

Registered at 310 TAUGHANNOCK BLVD, ITHACA, NY 148503251 (Tel: 6072523590)

πŸ“
Business Mailing Address (Initial Record) August 15, 2017

Registered at 117 CASCADILLA ST, ITHACA, NY 148503472 (Tel: 4122257727)

πŸ‘€
Provider Name / Credentials (Initial Record) August 15, 2017

Recorded as KRISTA GALIE, MS, RDN, CDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2017

Dietitian, Registered (license number reported to NPPES: None 86046225)

🟒
Initial NPI Registration & Enumeration August 15, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497271167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2017
Last Update: February 08, 2024
Sole Proprietor: No

Other Dietitian, Registereds in Ithaca

Healthcare providers in Ithaca

Mailing Address

310 Taughannock Blvd

Ithaca, NY 148503251

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.