MRS. REBECCA CONNIE PEDERSEN LICSW,SUDP,LCSW
NPI 1386022978
Social Worker - Clinical in American Fork, UT
About Mrs. Rebecca Connie Pedersen Licsw,sudp,lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. REBECCA CONNIE PEDERSEN LICSW,SUDP,LCSW (NPI 1386022978) is an individual clinical provider in American Fork, Utah, licensed in Utah (365936-3501) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Mrs. Rebecca Connie Pedersen Licsw,sudp,lcsw 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 Reassignment
Medicare enrollment records show Rebecca Pedersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Murray, UT 84121
- Reassigned Medicare billing, Utah enrollment
- 85 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84003 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AMERICAN FORK, UT 84003
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 Rebecca Pedersen's NPI number?
The NPI number for Rebecca Pedersen is 1386022978. It was assigned to this individual provider in the NPPES registry on May 14, 2015. The provider is also known as Rebecca Connie Webb.
Where is Rebecca Pedersen located?
Rebecca Pedersen practices at 802 E Bamberger Dr Ste A, American Fork, UT 84003. The listed phone number is (801) 633-9887.
What is Rebecca Pedersen's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Rebecca Pedersen enrolled in Medicare?
Yes. Rebecca 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 Rebecca Pedersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Pedersen reassigns Medicare benefits to Ascendant Behavioral Health LLC (Murray, UT). 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 Rebecca Pedersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Pedersen accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Rebecca 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 Rebecca Pedersen was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Rebecca Connie Pedersen, LICSW,SUDP,LCSW · NPI 1386022978
Clinical provider in American Fork, Utah. Individual provider, active in the CMS NPPES registry since May 14, 2015.
## Identity
- **NPI:** 1386022978 (Entity type: Individual)
- **Enumerated:** May 14, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 365936-3501 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 802 E BAMBERGER DR STE A, American Fork, UT 84003-2179
- **Phone:** (801) 633-9887
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Ascendant Behavioral Health LLC (NPI 1689128605, Murray, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386022978) · Data from the CMS NPPES public registry.