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

MS. Nikki Lynn Fedel, PAC

Individual provider Surgical Physician Assistant · NPI 1073756151

MS. Nikki Lynn Fedel, PAC is a Physician Assistant in Casper, Wyoming. Qualified in 2008, 18 years ago. Practices with Intermountain Medical Group Grand Junction, LLC, a 299-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
18
Licensed in
CO, WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

6600 E 2nd St
Casper, WY 82609-4348
Phone: (307) 266-4000
Fax: (307) 266-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 N Oak Ave, Marshfield, WI 54449-5703 — (171) 538-9078

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2725 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 101528 (WI)

Record details

NPI number1073756151
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 20, 2009
Last updated in NPPESApril 12, 2024
Certification dateApril 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Intermountain Medical Group Grand Junction, Llc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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