STEPHANIE P PEDERSEN L.P.
NPI 1104070952
Psychologist in Minnetonka, MN
About Stephanie P Pedersen L.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE P PEDERSEN L.P. (NPI 1104070952) is an individual psychologist in Minnetonka, Minnesota, licensed in Minnesota (LP 4964) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minnetonka.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie P Pedersen L.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Pedersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eden Prairie, MN 55344
- Reassigned Medicare billing, Minnesota enrollment
- 8 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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNETONKA, MN 55345
MINNETONKA, MN 55345
MINNETONKA, MN 55345
MINNETONKA, MN 55345
MINNETONKA, MN 55345
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 Stephanie Pedersen's NPI number?
The NPI number for Stephanie Pedersen is 1104070952. It was assigned to this individual provider in the NPPES registry on November 6, 2008.
Where is Stephanie Pedersen located?
Stephanie Pedersen practices at 5125 County Road 101, Suite 300 Relate, Inc., Minnetonka, MN 55345. The listed phone number is (952) 932-7277.
What is Stephanie Pedersen's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Stephanie Pedersen enrolled in Medicare?
Yes. Stephanie Pedersen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Pedersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Pedersen reassigns Medicare benefits to Becoming Together Therapy And Wellness LLC (Eden Prairie, MN). 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 Stephanie Pedersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Pedersen accept?
Health plans from HealthPartners list Stephanie 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.
When was this NPI record last updated?
The NPPES record for Stephanie Pedersen was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.