BLAKE PEDERSEN
NPI 1265381420
Nurse Practitioner - Psychiatric/Mental Health in Emmetsburg, IA
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
Specialties & Licenses
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
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.
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, IAPhysician 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.
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.
EMMETSBURG, IA 50536
EMMETSBURG, IA 50536
EMMETSBURG, IA 50536
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.
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 6 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.
# Blake Pedersen · NPI 1265381420
Psychiatric/Mental Health physician in Emmetsburg, Iowa. Individual provider, active in the CMS NPPES registry since January 22, 2026.
## Identity
- **NPI:** 1265381420 (Entity type: Individual)
- **Enumerated:** January 22, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** G188690 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 3201 1ST ST, Emmetsburg, IA 50536-2516
- **Phone:** (712) 852-5500
## 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 2025
## Record status
- **NPPES last updated:** January 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265381420) · Data from the CMS NPPES public registry.