ALEXIS DIANNE PEDERSEN PA C
NPI 1306425970
Physician Assistant - Medical in Phoenix, AZ

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
2902 W AGUA FRIA FWY STE 1000, PHOENIX, AZ 85027(623) 582-6420(623) 582-6720 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 21, 2025, Oct 2, 2024, Dec 5, 2023 and 5 more (8 updates tracked since 2021).

About Alexis Dianne Pedersen Pa C NPPES

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

ALEXIS DIANNE PEDERSEN PA C (NPI 1306425970) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (8682) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306425970
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALEXIS DIANNE PEDERSENCredential: PA C
Location Address2902 W AGUA FRIA FWY STE 1000Phoenix, AZ 85027-3969
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366
Fax(623) 582-6720
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 2, 2021
Last NPPES UpdateMarch 21, 20258 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
NPI 1306425970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 8682
2902 W AGUA FRIA FWY STE 1000, Phoenix, AZ 85027

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Alexis Dianne Pedersen Pa C 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 ID1355749110
PECOS Enrollment IDI20211007003091
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
342 services270 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services73 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
41 services37 patients
Simple bladder irrigation and/or instillation 51700
Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.
35 services31 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
30 services17 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
24 services11 patients

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Physician Assistant (Medical)
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Nurse Practitioner
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Physician Assistant
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Radiology (Vascular & Interventional Radiology)
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Urology
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Urology
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027
Urology
2902 W AGUA FRIA FWY STE 1000
PHOENIX, AZ 85027

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 Alexis Pedersen's NPI number?

The NPI number for Alexis Pedersen is 1306425970. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Alexis Pedersen located?

Alexis Pedersen practices at 2902 W Agua Fria Fwy Ste 1000, Phoenix, AZ 85027. The listed phone number is (623) 582-6420.

What is Alexis Pedersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alexis Pedersen enrolled in Medicare?

Yes. Alexis 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 Alexis Pedersen accept?

Health plans from Ambetter from Arizona Complete Health, Oscar Health Plan, Inc. and UnitedHealthcare list Alexis 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 Alexis Pedersen was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.