RYAN THOMAS PEDERSON ARNP
NPI 1336814862
Nurse Practitioner in Lynnwood, WA
About Ryan Thomas Pederson Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN THOMAS PEDERSON ARNP (NPI 1336814862) is an individual nurse practitioner in Lynnwood, Washington, licensed in Washington (AP61196922) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Ryan Thomas Pederson Arnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ryan Pederson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edmonds, WA 98026
- Reassigned Medicare billing, Washington enrollment
- 106 clinicians in this Medicare group
Seattle, WA 98107
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Ballard Emergency Physicians Ps
- 43 clinicians in this Medicare group
Elma, WA 98541
- Reassigned Medicare billing, Washington enrollment
- 83 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Swedish Edmonds Hospital
Acute Care Hospitals · Edmonds, WASwedish Medical Center
Acute Care Hospitals · Seattle, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Ryan Pederson's NPI number?
The NPI number for Ryan Pederson is 1336814862. It was assigned to this individual provider in the NPPES registry on August 16, 2021.
Where is Ryan Pederson located?
Ryan Pederson practices at 5729 181st Pl SW, Lynnwood, WA 98037. The listed phone number is (509) 290-9067.
What is Ryan Pederson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ryan Pederson enrolled in Medicare?
Yes. Ryan 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.
Which organizations bill Medicare for Ryan Pederson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Pederson reassigns Medicare benefits to 3 organizations: Cep America LLC (Edmonds, WA), Ballard Emergency Physicians, P.S. (Seattle, WA) and Grays Harbor County Public Hospital District No 1 (Elma, WA). Each 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 Ryan Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Pederson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ryan Pederson 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 Ryan Pederson affiliated with any hospitals?
According to CMS data, Ryan Pederson is affiliated with Swedish Edmonds Hospital and Swedish Medical Center.
When was this NPI record last updated?
The NPPES record for Ryan Pederson was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Ryan Thomas Pederson, ARNP · NPI 1336814862
Nurse Practitioner physician in Lynnwood, Washington. Individual provider, active in the CMS NPPES registry since August 16, 2021.
## Identity
- **NPI:** 1336814862 (Entity type: Individual)
- **Enumerated:** August 16, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP61196922 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 5729 181ST PL SW, Lynnwood, WA 98037-7312
- **Phone:** (509) 290-9067
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1447484274, Edmonds, WA); Ballard Emergency Physicians, P.S. (NPI 1619909256, Seattle, WA); Grays Harbor County Public Hospital District No 1 (NPI 1740211028, Elma, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336814862) · Data from the CMS NPPES public registry.