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MS. GRACE PEDERSEN ARNP
NPI 1528385176
Nurse Practitioner - Family in Port Orange, FL

Active since April 22, 2010PECOS Enrolled
1211 DUNLAWTON AVE, PORT ORANGE, FL 32127(386) 675-4411(386) 675-4419 Get Directions Write a Review

NPPES record last updated: April 22, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Grace Pedersen Arnp NPPES

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

MS. GRACE PEDERSEN ARNP (NPI 1528385176) is an individual family provider in Port Orange, Florida, licensed in Florida (ARNP1617512) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528385176
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. GRACE PEDERSENCredential: ARNP
Location Address1211 DUNLAWTON AVEPort Orange, FL 32127-2913
Mailing Address1211 Dunlawton AvePort Orange, FL 32127-2913 · (386) 675-4411 · Fax (386) 675-4419
Phone(386) 675-4411
Fax(386) 675-4419
Sole ProprietorNo
Enumeration DateApril 22, 2010
✔ NPI 1528385176 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 FL · ARNP1617512
1211 DUNLAWTON AVE, Port Orange, FL 32127
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Grace Pedersen Arnp 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 Reassignment

Medicare enrollment records show Grace Pedersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ormond Medical Arts Family Practice LLC
11 mi
Family Medicine
77 W GRANADA BLVD
Ormond Beach, FL 32174
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Ormond Medical Arts
  • 51 clinicians in this Medicare group
NPI 1326254962 (386) 677-0453

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 32127 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY J WIERZBICKI MD
Psychiatry & Neurology (Neurology)
1211 DUNLAWTON AVE
PORT ORANGE, FL 32127
Volusia County (386) 304-0111
BRAIN AND SPINE INSTITUTE OF PORT ORANGE, LLC
Psychiatry & Neurology (Neurology)
1211 DUNLAWTON AVE
PORT ORANGE, FL 32127
Volusia County (386) 304-0111

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 Grace Pedersen's NPI number?

The NPI number for Grace Pedersen is 1528385176. It was assigned to this individual provider in the NPPES registry on April 22, 2010.

Where is Grace Pedersen located?

Grace Pedersen practices at 1211 Dunlawton Ave, Port Orange, FL 32127. The listed phone number is (386) 675-4411.

What is Grace Pedersen's specialty?

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

Is Grace Pedersen enrolled in Medicare?

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

Which organization bills Medicare for Grace Pedersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Pedersen reassigns Medicare benefits to Ormond Medical Arts Family Practice LLC (Ormond Beach, FL). 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 Grace Pedersen'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 Grace Pedersen was last updated on April 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.