MARISSA PEDERSON DNP, APNP, FNP-C
NPI 1447865142
Nurse Practitioner - Family in La Crosse, WI

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment
1910 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2022, Sep 10, 2020 (2 updates tracked since 2020).

About Marissa Pederson Dnp, Apnp, Fnp-c NPPES

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

MARISSA PEDERSON DNP, APNP, FNP-C (NPI 1447865142) is an individual family provider in La Crosse, Wisconsin, licensed in Wisconsin (10360-33) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1447865142
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISSA PEDERSONCredential: DNP, APNP, FNP-C
Location Address1910 SOUTH AVELa Crosse, WI 54601-5467
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 10, 2020
Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
NPI 1447865142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 10360-33
1910 SOUTH AVE, La Crosse, WI 54601

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

Marissa Pederson Dnp, Apnp, Fnp-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 ID4981074259
PECOS Enrollment IDI20221230002037
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 2

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 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.
68 services65 patients
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.
25 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Counselor (Addiction (Substance Use Disorder))
1910 SOUTH AVE
LA CROSSE, WI 54601
Counselor (Addiction (Substance Use Disorder))
1910 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Family)
1910 SOUTH AVE
LA CROSSE, WI 54601
Internal Medicine (Nephrology)
1910 SOUTH AVE
LA CROSSE, WI 54601
Counselor (Professional)
1910 SOUTH AVE
LA CROSSE, WI 54601
Pharmacist
1910 SOUTH AVE
LA CROSSE, WI 54601
Counselor (Professional)
1910 SOUTH AVE, LA CROSSE
LA CROSSE, WI 54601
Counselor (Professional)
1910 SOUTH AVE
LA CROSSE, WI 54601

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 Marissa Pederson's NPI number?

The NPI number for Marissa Pederson is 1447865142. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Marissa Pederson located?

Marissa Pederson practices at 1910 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Marissa Pederson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marissa Pederson enrolled in Medicare?

Yes. Marissa 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.

What insurance does Marissa Pederson accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Marissa 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 Marissa Pederson affiliated with any hospitals?

According to CMS data, Marissa Pederson is affiliated with Gundersen Lutheran Medical Center.

When was this NPI record last updated?

The NPPES record for Marissa Pederson was last updated on September 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.