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

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: August 16, 2026.

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

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
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

Other Names 1

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

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

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.

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.

Family Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Family Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Nurse Practitioner (Primary Care)
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Nurse Practitioner
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Physician Assistant
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Nurse Practitioner (Family)
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Internal Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Emergency Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066

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 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.

Where is Ashzra Pedersen located?

Ashzra Pedersen practices at 4663 Scotts Valley Dr, Scotts Valley, CA 95066. The listed phone number is (831) 458-6300.

What is Ashzra Pedersen's specialty?

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

Is Ashzra Pedersen enrolled in Medicare?

Yes. Ashzra Pedersen 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.

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 5 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.