ALLISON FAYE PEDERSEN
NPI 1265032544
Nurse Practitioner - Family in Dakota Dunes, SD

Active since October 27, 2020PECOS EnrolledAccepts Medicare Assignment
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049(605) 217-2667(605) 217-2900 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 16, 2023, Mar 22, 2021, Jan 26, 2021 and 1 more (4 updates tracked since 2020).

About Allison Faye Pedersen NPPES

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

ALLISON FAYE PEDERSEN (NPI 1265032544) is an individual family provider in Dakota Dunes, South Dakota, licensed in South Dakota (CP001962) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265032544
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALLISON FAYE PEDERSEN
Location Address575 N SIOUX POINT RDDakota Dunes, SD 57049-5312
Mailing Address575 N Sioux Point RdDakota Dunes, SD 57049-5312 · (605) 217-2667 · Fax (605) 217-2900
Fax(605) 217-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 27, 2020
Last NPPES UpdateJanuary 16, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
NPI 1265032544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in SD · CP001962 Licensed in IA · A161810 Licensed in NE · 114194
575 N SIOUX POINT RD, Dakota Dunes, SD 57049

Accepted Insurance

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

Allison Faye Pedersen 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 ID4486069325
PECOS Enrollment IDI20231130002999
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
768 services19 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
96 services19 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
85 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
84 services29 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
80 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57049 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier24 claims24 services$214.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Neurological Surgery
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Physical Therapist
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Physical Therapist
575 N SIOUX POINT RD, CNOS, PC
DAKOTA DUNES, SD 57049
Specialist/Technologist (Athletic Trainer)
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Physical Therapist
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Orthopaedic Surgery
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Physician Assistant (Surgical)
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049

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 Allison Pedersen's NPI number?

The NPI number for Allison Pedersen is 1265032544. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Allison Pedersen located?

Allison Pedersen practices at 575 N Sioux Point Rd, Dakota Dunes, SD 57049. The listed phone number is (605) 217-2667.

What is Allison Pedersen's specialty?

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

Is Allison Pedersen enrolled in Medicare?

Yes. Allison 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.

What insurance does Allison Pedersen accept?

Health plans from Blue Cross and Blue Shield of Texas list Allison 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 Allison Pedersen was last updated on January 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.