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ANDREA PEDERSEN NP
NPI 1356689871
Nurse Practitioner in Livermore, CA

Active since January 17, 2013PECOS Enrolled
75/100
CMS Quality Rating
822 S M ST, LIVERMORE, CA 94550(925) 922-0299 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Pedersen Np NPPES

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

ANDREA PEDERSEN NP (NPI 1356689871) is an individual nurse practitioner in Livermore, California, licensed in California (22243) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356689871
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA PEDERSENCredential: NP
Location Address822 S M STLivermore, CA 94550-4409
Mailing Address822 S M StLivermore, CA 94550-4409 · (925) 922-0299
Phone(925) 922-0299
Sole ProprietorNo
Enumeration DateJanuary 17, 2013
Last NPPES UpdateNovember 17, 2016
✔ NPI 1356689871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 22243
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 22243 (CA)
822 S M ST, Livermore, CA 94550
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Pedersen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94550 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Andrea Pedersen's NPI number?

The NPI number for Andrea Pedersen is 1356689871. It was assigned to this individual provider in the NPPES registry on January 17, 2013.

Where is Andrea Pedersen located?

Andrea Pedersen practices at 822 S M St, Livermore, CA 94550. The listed phone number is (925) 922-0299.

What is Andrea Pedersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Andrea Pedersen enrolled in Medicare?

Yes. Andrea Pedersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Pedersen was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.