ROBERT WILLIAM PEDERSEN
NPI 1083301410
Student in an Organized Health Care Education/Training Program in Memphis, TN
About Robert William Pedersen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT WILLIAM PEDERSEN (NPI 1083301410) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Robert William Pedersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEMPHIS, TN 38103
MEMPHIS, TN 38103
MEMPHIS, TN 38103
MEMPHIS, TN 38103
MEMPHIS, TN 38103
MEMPHIS, TN 38103
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Robert Pedersen's NPI number?
The NPI number for Robert Pedersen is 1083301410. It was assigned to this individual provider in the NPPES registry on April 18, 2023.
Where is Robert Pedersen located?
Robert Pedersen practices at 920 Madison Ave Ste 447, Memphis, TN 38103. The listed phone number is (901) 516-8675.
What is Robert Pedersen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Robert Pedersen enrolled in Medicare?
Yes. Robert Pedersen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Robert Pedersen was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Robert William Pedersen · NPI 1083301410
Student in an Organized Health Care Education/Training Program provider in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since April 18, 2023.
## Identity
- **NPI:** 1083301410 (Entity type: Individual)
- **Enumerated:** April 18, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 920 MADISON AVE STE 447, Memphis, TN 38103-3438
- **Phone:** (901) 516-8675
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** April 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083301410) · Data from the CMS NPPES public registry.