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

Q: 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.

Q: What is Jane Pederson's specialty?

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

Q: 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.

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: August 09, 2026.

On this page

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

Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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)