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DR. JANE CAROL PEDERSON M.D.
NPI 1508147224
Internal Medicine - Geriatric Medicine in Minneapolis, MN

Active since September 08, 2011PECOS Enrolled
3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413(763) 587-7737(763) 587-7069 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jane Carol Pederson M.d. NPPES

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

DR. JANE CAROL PEDERSON M.D. (NPI 1508147224) is an individual geriatric medicine provider in Minneapolis, Minnesota, licensed in Minnesota (32722) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Woodbury.

NPPES Registry Identity

NPI1508147224
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. JANE CAROL PEDERSONCredential: M.D.
Location Address3433 BROADWAY ST NE STE 300Minneapolis, MN 55413-1761
Mailing Address9478 Wedgewood DrWoodbury, MN 55125-9304 · (651) 730-9471
Phone(763) 587-7737
Fax(763) 587-7069
Sole ProprietorNo
Enumeration DateSeptember 8, 2011
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1508147224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in MN · 32722
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
3433 BROADWAY ST NE STE 300, Minneapolis, MN 55413
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Secondary Practice Location 1

Location 19478 Wedgewood DrWoodbury, MN 55125-9304 · Phone (651) 730-9471

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jane Carol Pederson M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jane Pederson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Services Of Minnesota, LLC
Same address
Geriatric Medicine
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • 46 clinicians in this Medicare group
NPI 1093131419 (763) 587-7737
Allina Health System
3.4 mi
Obstetrics & Gynecology
121 S 8TH ST STE 600
Minneapolis, MN 55402
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
NPI 1801836663 (612) 333-4822

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 55413 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

NATALIE COWELL
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
MS. JUDY LEE PALMER ANP
Nurse Practitioner (Adult Health)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
RENEE K DOERING G.N.P
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
JENNIFER VOSS DNP, RN
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
AMY KAMMERER
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
KELLI BRONDER APRN,CNP,RN
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
GENEVIVE ACO LLC
Family Medicine (Hospice and Palliative Medicine)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737
ELIZABETH A TOTH NP
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Hennepin County (763) 587-7737

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 Jane Pederson's NPI number?

The NPI number for Jane Pederson is 1508147224. It was assigned to this individual provider in the NPPES registry on September 8, 2011.

Where is Jane Pederson located?

Jane Pederson practices at 3433 Broadway St NE Ste 300, Minneapolis, MN 55413. The listed phone number is (763) 587-7737.

What is Jane Pederson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Jane Pederson enrolled in Medicare?

Yes. Jane Pederson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jane Pederson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Pederson reassigns Medicare benefits to 2 organizations: Geriatric Services Of Minnesota, LLC (Minneapolis, MN) and Allina Health System (Minneapolis, MN). 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 Jane Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jane Pederson was last updated on May 21, 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.