Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Fedie, PA-C

Individual provider Physician Assistant · NPI 1396179586

Jessica Fedie, PA-C is a Physician Assistant in Greenbrae, California. Qualified in 2013, 13 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group. Licensed in California and Minnesota.

Years since qualifying
13
Licensed in
CA, MN
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone: (415) 925-7000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 53936 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 1972 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 11483 (MN)

Record details

NPI number1396179586
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2013
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Greenbrae