JUSTIN PEDERSON RN, AGACNP
NPI 1245046903
Nurse Practitioner - Acute Care in New York, NY

Active since December 07, 2024PECOS EnrolledAccepts Medicare Assignment
424 E 34TH ST FL 16, NEW YORK, NY 10016(646) 929-7870 Get Directions Write a Review

NPPES record last updated: December 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Pederson Rn, Agacnp NPPES

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

JUSTIN PEDERSON RN, AGACNP (NPI 1245046903) is an individual acute care provider in New York, New York, licensed in New York (433062) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245046903
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJUSTIN PEDERSONCredential: RN, AGACNP
Location Address424 E 34TH ST FL 16New York, NY 10016-4901
Mailing Address28 Box St Apt N233Brooklyn, NY 11222-5586 · (425) 458-8947
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 7, 2024
NPPES CertifiedDecember 7, 2024
NPI 1245046903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · 433062
424 E 34TH ST FL 16, New York, NY 10016

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

Justin Pederson Rn, Agacnp 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 ID5193243103
PECOS Enrollment IDI20250514000504
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 2

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

Nurse Practitioner (Gerontology)
424 E 34TH ST FL 16
NEW YORK, NY 10016
Nurse Practitioner (Acute Care)
424 E 34TH ST FL 16
NEW YORK, NY 10016

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 Justin Pederson's NPI number?

The NPI number for Justin Pederson is 1245046903. It was assigned to this individual provider in the NPPES registry on December 7, 2024.

Where is Justin Pederson located?

Justin Pederson practices at 424 E 34th St Fl 16, New York, NY 10016. The listed phone number is (646) 929-7870.

What is Justin Pederson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Justin Pederson enrolled in Medicare?

Yes. Justin Pederson 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.

Is Justin Pederson affiliated with any hospitals?

According to CMS data, Justin Pederson is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Justin Pederson was last updated on December 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.