DR. KARA PEDERSEN RN, FNP-BC
NPI 1215781265
Nurse Practitioner - Family in Chicago, IL
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
Specialties & Licenses 2
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
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.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
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 13 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.
# Dr. Kara Pedersen, RN, FNP-BC · NPI 1215781265
Family physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since April 16, 2024.
## Identity
- **NPI:** 1215781265 (Entity type: Individual)
- **Enumerated:** April 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.031005 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4417 W DIVERSEY AVE, Chicago, IL 60639-1923
- **Phone:** (773) 377-7736 · **Fax:** (815) 642-5723
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215781265) · Data from the CMS NPPES public registry.