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MRS. LINDSEY MACIEL PEDERSON APN
NPI 1093243339
Nurse Practitioner in Chicago, IL

Active since May 31, 2017PECOS Enrolled
60 E DELAWARE PL STE 1420, CHICAGO, IL 60611(312) 440-5127(312) 440-5127 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2020, May 31, 2017 (2 updates tracked since 2017).

About Mrs. Lindsey Maciel Pederson Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LINDSEY MACIEL PEDERSON APN (NPI 1093243339) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209015924) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093243339
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LINDSEY MACIEL PEDERSONCredential: APN
Location Address60 E DELAWARE PL STE 1420Chicago, IL 60611-1495
Mailing Address1702 W Erie St Apt 1Chicago, IL 60622-6019 · (815) 735-1140
Phone(312) 440-5127
Fax(312) 440-5127
Sole ProprietorNo
Enumeration DateMay 31, 2017
Last NPPES UpdateApril 24, 20202 updates tracked since enumeration
NPPES CertifiedApril 24, 2020
✔ NPI 1093243339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209015924
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
60 E DELAWARE PL STE 1420, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11740 W Taylor St Ste C100Chicago, IL 60612-7232 · Phone (312) 996-2779 · Fax (312) 355-2983
Location 21220 S Wood St Fl 2Chicago, IL 60608-1202 · Phone (312) 996-2779 · Fax (312) 355-2983

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lindsey Maciel Pederson Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lindsey Pederson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois
2.4 mi
Dermatology
808 S WOOD ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1134118649 (Illinois)
  • 2,127 clinicians in this Medicare group
NPI 1265651434 (312) 996-6966

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lindsey Pederson's NPI number?

The NPI number for Lindsey Pederson is 1093243339. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Lindsey Pederson located?

Lindsey Pederson practices at 60 E Delaware Pl Ste 1420, Chicago, IL 60611. The listed phone number is (312) 440-5127.

What is Lindsey Pederson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lindsey Pederson enrolled in Medicare?

Yes. Lindsey Pederson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lindsey Pederson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lindsey Pederson reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lindsey Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lindsey Pederson was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.