MR. GERALD PEDERSEN C.R.N.A.
NPI 1093758716
Nurse Anesthetist, Certified Registered in Zachary, LA

Active since June 13, 2006Accepts Medicare Assignment
6300 MAIN ST, ZACHARY, LA 70791(225) 658-4000 Get Directions Write a Review

NPPES record last updated: May 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Gerald Pedersen C.r.n.a. NPPES

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

MR. GERALD PEDERSEN C.R.N.A. (NPI 1093758716) is an individual nurse anesthetist, certified registered in Zachary, Louisiana, licensed in Louisiana (44332) and active in the NPI registry since June 2006. He is affiliated with Lane Regional Medical Center, maintains a secondary practice location in Charleston, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1093758716
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. GERALD PEDERSENCredential: C.R.N.A.
Location Address6300 MAIN STZachary, LA 70791-4037
Mailing Address3617 Hyacinth AveBaton Rouge, LA 70808-2933 · (225) 389-2928 · Fax (225) 389-2931
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJune 13, 2006
Last NPPES UpdateMay 19, 2024
NPPES CertifiedMay 19, 2024
✔ NPI 1093758716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in LA · 44332✔ Licensed in SC · 23775
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
6300 MAIN ST, Zachary, LA 70791

Secondary Practice Location 1

Location 12095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 402-1436

Other Identifiers 1

MedicaidAN3110SC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gerald Pedersen C.r.n.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577509140
PECOS Enrollment IDI20050705000849, I20190114000134

Medicare Billing Reassignments

6

Medicare enrollment records show Gerald Pedersen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
8946 INTERLINE AVE, SUITE C
Baton Rouge, LA 70809
  • Reassigned Medicare billing, Louisiana enrollment
  • 141 clinicians in this Medicare group
Anesthesiology
8946 INTERLINE AVE STE C
Baton Rouge, LA 70809
  • Reassigned Medicare billing, Louisiana enrollment
  • 121 clinicians in this Medicare group
Anesthesiology
10105 PARK ROWE CIRCLE
Baton Rouge, LA 70810
  • Reassigned Medicare billing, Louisiana enrollment
  • 36 clinicians in this Medicare group
General Acute Care Hospital
2315 E MAIN ST
New Iberia, LA 70560
  • Reassigned Medicare billing, Louisiana enrollment
  • 52 clinicians in this Medicare group
Anesthesiology
300 COLONIAL CENTER PKWY STE 100N
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 85 clinicians in this Medicare group
Nutrition, Education
2097 HENRY TECKLENBURG DR STE 309W
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • 375 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lane Regional Medical Center

Acute Care Hospitals · Zachary, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190020
Location6300 Main StreetZachary, LA 70791 · E. Baton Rouge County
Emergency services Birthing friendly

The Spine Hospital Of Louisiana

Acute Care Hospitals · Baton Rouge, LA
OwnershipPhysician
CMS Certification Number190266
Location10105 Park Row Circle, Suite 250Baton Rouge, LA 70810 · E. Baton Rouge County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70791 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Radiology (Diagnostic Radiology)
6300 MAIN ST
ZACHARY, LA 70791
Pharmacist
6300 MAIN ST
ZACHARY, LA 70791
Dietitian, Registered
6300 MAIN ST
ZACHARY, LA 70791
Dietitian, Registered
6300 MAIN ST
ZACHARY, LA 70791
Physician Assistant
6300 MAIN ST
ZACHARY, LA 70791
Nurse Anesthetist, Certified Registered
6300 MAIN ST
ZACHARY, LA 70791
Family Medicine
6300 MAIN ST
ZACHARY, LA 70791
Skilled Nursing Facility
6300 MAIN ST
ZACHARY, LA 70791

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 Gerald Pedersen's NPI number?

The NPI number for Gerald Pedersen is 1093758716. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Gerald Pedersen located?

Gerald Pedersen practices at 6300 Main St, Zachary, LA 70791. The listed phone number is (225) 658-4000.

What is Gerald Pedersen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Gerald Pedersen enrolled in Medicare?

Yes. Gerald Pedersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gerald Pedersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Pedersen reassigns Medicare benefits to 6 organizations: Diversified Professionals, Inc. (Baton Rouge, LA), Dpi Of Louisiana LLC (Baton Rouge, LA), Nuedge Anesthesia LLC (Baton Rouge, LA), Hospital Service District No. 1 Of Iberia Parish (New Iberia, LA), Dpi Of Georgia, LLC (Roswell, GA) and 1 more organization, listed in the Medicare section above. Each 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 Gerald Pedersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerald Pedersen accept?

Health plans from HMO Louisiana and Oscar Health list Gerald Pedersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gerald Pedersen affiliated with any hospitals?

According to CMS data, Gerald Pedersen is affiliated with Lane Regional Medical Center and The Spine Hospital Of Louisiana.

When was this NPI record last updated?

The NPPES record for Gerald Pedersen was last updated on May 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.