1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Nurse Practitioner
  6. NPI Profile

DR. KARA PEDERSEN RN, FNP-BC
NPI 1215781265
Nurse Practitioner - Family in Chicago, IL

Active since April 16, 2024PECOS EnrolledAccepts Medicare Assignment
4417 W DIVERSEY AVE, CHICAGO, IL 60639(773) 377-7736(815) 642-5723 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2025, Apr 16, 2024 (2 updates tracked since 2024).

About Dr. Kara Pedersen Rn, Fnp-bc NPPES

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

DR. KARA PEDERSEN RN, FNP-BC (NPI 1215781265) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.031005) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215781265
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. KARA PEDERSENCredential: RN, FNP-BC
Location Address4417 W DIVERSEY AVEChicago, IL 60639-1923
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373
Phone(773) 377-7736
Fax(815) 642-5723
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 16, 2024
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1215781265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.031005
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.434471 (IL)
4417 W DIVERSEY AVE, Chicago, IL 60639
Open in Google Maps ↗

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

Dr. Kara Pedersen Rn, Fnp-bc 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 ID1456871326
PECOS Enrollment IDI20250221001731
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 Kara Pedersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oak Street Health Physicians Group, PC
17 mi
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 clinicians in this Medicare group
NPI 1083051643 (773) 768-4437

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 60639 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH LYNNE EDBERG M.D.
Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 377-7736
MARIE DANIELLE JENA RUD MD
Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 377-7736
MICHAEL DUARTE M.D
Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 598-2508
JACQUELINE JENNY CENTENO
Social Worker (Clinical)
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 932-5723
BERLINDA TORRES M.D.
Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 377-7736
JEREMY PATEL M.D.
Internal Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 377-7736
OMAR ALBERTO OLIVEROS M.D.
Internal Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 377-7736
GIOCONDA C ARIAS FNP
Nurse Practitioner (Family)
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Cook County (773) 377-7736

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 Kara Pedersen's NPI number?

The NPI number for Kara Pedersen is 1215781265. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Kara Pedersen located?

Kara Pedersen practices at 4417 W Diversey Ave, Chicago, IL 60639. The listed phone number is (773) 377-7736.

What is Kara Pedersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kara Pedersen enrolled in Medicare?

Yes. Kara 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 organization bills Medicare for Kara Pedersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kara Pedersen reassigns Medicare benefits to Oak Street Health Physicians Group, PC (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 Kara Pedersen'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 Kara Pedersen was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.