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BLAKE PEDERSEN
NPI 1265381420
Nurse Practitioner - Psychiatric/Mental Health in Emmetsburg, IA

Active since January 22, 2026PECOS EnrolledAccepts Medicare Assignment
3201 1ST ST, EMMETSBURG, IA 50536(712) 852-5500 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Blake Pedersen NPPES

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

BLAKE PEDERSEN (NPI 1265381420) is an individual psychiatric/mental health provider in Emmetsburg, Iowa, licensed in Iowa (G188690) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, is affiliated with Palo Alto County Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265381420
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBLAKE PEDERSEN
Location Address3201 1ST STEmmetsburg, IA 50536-2516
Mailing Address3201 1st StEmmetsburg, IA 50536-2516 · (712) 852-5500
Phone(712) 852-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 22, 2026
NPPES CertifiedJanuary 22, 2026
✔ NPI 1265381420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IA · G188690
3201 1ST ST, Emmetsburg, IA 50536
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Blake 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 ID6608350269
PECOS Enrollment IDI20260320002859
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 Blake Pedersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palo Alto County Hospital
Same address
Emergency Medicine
3201 1ST ST
Emmetsburg, IA 50536
  • Reassigned Medicare billing, Iowa enrollment
  • 26 clinicians in this Medicare group
NPI 1184634602 (712) 852-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Palo Alto County Hospital

Critical Access Hospitals · Emmetsburg, IA
OwnershipGovernment - Local
CMS Certification Number161357
Location3201 1st StreetEmmetsburg, IA 50536 · Palo Alto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50536 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 20

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

NORTH IOWA MERCY CLINICS
Internal Medicine
3201 1ST ST
EMMETSBURG, IA 50536
Palo Alto County (641) 422-6999
DAIVD GUS KUNDEL MD
Radiology (Diagnostic Radiology)
3201 1ST ST
EMMETSBURG, IA 50536
Palo Alto County (712) 852-5500
MELODY J DEGEN
Specialist/Technologist (Athletic Trainer)
3201 1ST ST
EMMETSBURG, IA 50536
Palo Alto County (515) 249-1213
PALO ALTO COUNTY HOSPITAL
Nursing Facility/Intermediate Care Facility
3201 1ST ST
EMMETSBURG, IA 50536
Palo Alto County (712) 852-5500
JENNIFER GRAVENISH ARNP
Nurse Practitioner (Psychiatric/Mental Health)
3201 1ST ST
EMMETSBURG, IA 50536
Palo Alto County (712) 221-0684
MICHELLE C SHRYOCK BA, TCADC
Counselor (Addiction (Substance Use Disorder))
3201 1ST ST
EMMETSBURG, IA 50536
Palo Alto County (712) 262-2922
ARIELLE HARRIS LMSW
Social Worker
3201 1ST ST
EMMETSBURG, IA 50536
Palo Alto County (712) 852-5500
PALO ALTO COUNTY HOSPITAL
Emergency Medicine
3201 1ST ST
EMMETSBURG, IA 50536
Palo Alto County (712) 852-5500

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 Blake Pedersen's NPI number?

The NPI number for Blake Pedersen is 1265381420. It was assigned to this individual provider in the NPPES registry on January 22, 2026.

Where is Blake Pedersen located?

Blake Pedersen practices at 3201 1st St, Emmetsburg, IA 50536. The listed phone number is (712) 852-5500.

What is Blake Pedersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Blake Pedersen enrolled in Medicare?

Yes. Blake 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 Blake Pedersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Pedersen reassigns Medicare benefits to Palo Alto County Hospital (Emmetsburg, IA). 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 Blake Pedersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Pedersen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Blake 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.

Is Blake Pedersen affiliated with any hospitals?

According to CMS data, Blake Pedersen is affiliated with Palo Alto County Hospital.

When was this NPI record last updated?

The NPPES record for Blake Pedersen was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.