CLARK PEDERSEN RN
NPI 1679106728
Registered Nurse - School in Cairo, NE

Active since February 18, 2020
201 HIGHWAY 11, CAIRO, NE 68824(308) 485-4258 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2020, Feb 18, 2020 (2 updates tracked since 2020).

About Clark Pedersen Rn NPPES

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

CLARK PEDERSEN RN (NPI 1679106728) is an individual school provider in Cairo, Nebraska, licensed in Nebraska (72872) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1679106728
Entity TypeIndividualMale
Primary Taxonomy163WS0200X
Provider Legal NameCLARK PEDERSENCredential: RN
Location Address201 HIGHWAY 11Cairo, NE 68824-2014
Mailing AddressPo Box 430Cairo, NE 68824-0430 · (308) 485-4258
Sole ProprietorNo
Enumeration DateFebruary 18, 2020
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
NPI 1679106728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License Licensed in NE · 72872
201 HIGHWAY 11, Cairo, NE 68824

Other Providers at the Same Location NPPES

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

Local Education Agency (LEA)
201 HIGHWAY 11
CAIRO, NE 68824

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 Clark Pedersen's NPI number?

The NPI number for Clark Pedersen is 1679106728. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Clark Pedersen located?

Clark Pedersen practices at 201 Highway 11, Cairo, NE 68824. The listed phone number is (308) 485-4258.

What is Clark Pedersen's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Clark Pedersen was last updated on March 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.