Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MARILOU PEDERSON C.P.N.P.
NPI 1215910492
Nurse Practitioner - Pediatrics in Eden Prairie, MN

Active since November 22, 2005
12200 MIDDLE SET RD, 100, EDEN PRAIRIE, MN 55344(952) 943-8200(952) 943-8206 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Marilou Pederson C.p.n.p. NPPES

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

MS. MARILOU PEDERSON C.P.N.P. (NPI 1215910492) is an individual pediatrics provider in Eden Prairie, Minnesota, licensed in Minnesota (R061116-9) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1215910492
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MARILOU PEDERSONCredential: C.P.N.P.
Location Address12200 MIDDLE SET RD, 100Eden Prairie, MN 55344-5415
Mailing Address12200 Middle Set Rd, 100Eden Prairie, MN 55344-5415 · (952) 943-8200 · Fax (952) 943-8206
Fax(952) 943-8206
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1215910492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MN · R061116-9
12200 MIDDLE SET RD, Eden Prairie, MN 55344

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Pediatrics
12200 MIDDLE SET RD, SUITE 100
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Pediatrics)
12200 MIDDLE SET RD, 100
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Pediatrics)
12200 MIDDLE SET RD, 100
EDEN PRAIRIE, MN 55344

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 Marilou Pederson's NPI number?

The NPI number for Marilou Pederson is 1215910492. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Marilou Pederson located?

Marilou Pederson practices at 12200 Middle Set Rd 100, Eden Prairie, MN 55344. The listed phone number is (952) 943-8200.

What is Marilou Pederson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Marilou Pederson accept?

Health plans from HealthPartners and Medica list Marilou Pederson 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 Marilou Pederson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.