ASHZRA PEDERSEN DNP, RN, FNP-C, AGNP
NPI 1649728999
Nurse Practitioner - Family in Scotts Valley, CA

Q: What is Ashzra Pedersen's NPI number?

The NPI number for Ashzra Pedersen is 1649728999. It was assigned to this individual provider in the NPPES registry on September 15, 2016. The provider is also known as Ashzra Jones Dnp, Rn, Fnp-C, Agnp.

Q: What is Ashzra Pedersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashzra Pedersen was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 15, 2016PECOS EnrolledAccepts Medicare Assignment

4663 SCOTTS VALLEY DR, SCOTTS VALLEY, CA 95066(831) 458-6300 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 12, 2020, Jun 24, 2018, Sep 1, 2017 and 1 more (4 updates tracked since 2016).

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About Ashzra Pedersen Dnp, Rn, Fnp-c, Agnp NPPES

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

ASHZRA PEDERSEN DNP, RN, FNP-C, AGNP (NPI 1649728999) is an individual family provider in Scotts Valley, California, licensed in California (95007248) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649728999

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHZRA PEDERSENCredential: DNP, RN, FNP-C, AGNP

Location Address4663 SCOTTS VALLEY DRScotts Valley, CA 95066-4202

Mailing Address325 Distel CirLos Altos, CA 94022-1408

Phone(831) 458-6300

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 15, 2016

Last NPPES UpdateOctober 12, 20204 updates tracked since enumeration

NPPES CertifiedOctober 12, 2020

✔ NPI 1649728999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 95007248✔ Licensed in CA · F07170649

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AG08170091 (CA)

4663 SCOTTS VALLEY DR, Scotts Valley, CA 95066

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Other Names 1

Former Name (1)Ashzra Jones Dnp, Rn, Fnp-c, Agnp

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

Ashzra Pedersen Dnp, Rn, Fnp-c, Agnp 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 ID6709143159

PECOS Enrollment IDI20171120003571

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

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

Sutter Bay Medical Foundation

28 mi

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

Minuteclinic Diagnostic Medical Group Of San Diego Inc

408 mi

Family

2760 FLETCHER PKWY
El Cajon, CA 92020

Reassigned Medicare billing, California enrollment
212 clinicians in this Medicare group

NPI 1568659233 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

88 services71 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.

74 services60 patients

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.

32 services29 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

13 services13 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95066 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

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.

MICHAEL JOHNSON

Family Medicine