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

Q: 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.

Q: What is Gerald Pedersen's specialty?

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

Q: 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.

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: August 02, 2026.

On this page

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

Phone(225) 658-4000

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

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Secondary Practice Location 1

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

Other Identifiers 1

MedicaidAN3110SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

DR. TRAVIS J BLANCHARD M.D.

Radiology (Diagnostic Radiology)