Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
CAROLYN R FEGENBUSH
Active
Individual
CAROLYN R FEGENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
71001579A
IN
363L00000X
Nurse Practitioner
Primary
71001579A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200451720
—
IN
01
—
2823492000
PASSPORT ADVANTAGE
—
01
—
50014111
PASSPORT
—
05
—
78010824
—
KY
01
—
P00424435
RAILROAD MEDICARE
—
Enumeration date
07/06/2006
Last updated
11/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers