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MARY MAKENNA PEDERSEN FNP-C
NPI 1700554979
Nurse Practitioner - Primary Care in Jefferson, IA

Active since September 02, 2021PECOS EnrolledAccepts Medicare Assignment
1000 W LINCOLN WAY, JEFFERSON, IA 50129(515) 386-0500 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Makenna Pedersen Fnp-c NPPES

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

MARY MAKENNA PEDERSEN FNP-C (NPI 1700554979) is an individual primary care provider in Jefferson, Iowa, licensed in Iowa (A165415) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Greene County Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700554979
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARY MAKENNA PEDERSENCredential: FNP-C
Location Address1000 W LINCOLN WAYJefferson, IA 50129-1645
Mailing Address1000 W Lincoln WayJefferson, IA 50129-1645 · (515) 386-0500
Phone(515) 386-0500
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1700554979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IA · A165415
1000 W LINCOLN WAY, Jefferson, IA 50129
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Mary Makenna Pedersen Fnp-c 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 ID941608038
PECOS Enrollment IDI20211004001717
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Greene County Medical Center

Critical Access Hospitals · Jefferson, IA
OwnershipGovernment - Local
CMS Certification Number161325
Location1000 West Lincoln WayJefferson, IA 50129 · Greene County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50129 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

TAYLAN ENTRIKEN
Physical Therapy Assistant
1000 W LINCOLN WAY
JEFFERSON, IA 50129
Greene County (515) 386-4284
MRS. DAWN ELIZABETH TINGWALD ARNP
Nurse Practitioner (Family)
1000 W LINCOLN WAY
JEFFERSON, IA 50129
Greene County (515) 386-0500
GREENE COUNTY MEDICAL CENTER
General Acute Care Hospital (Critical Access)
1000 W LINCOLN WAY
JEFFERSON, IA 50129
Greene County (515) 386-2114
MR. ALEC MARSHALL ANTANAITIS
Nurse Practitioner (Gerontology)
1000 W LINCOLN WAY
JEFFERSON, IA 50129
Greene County (515) 386-2114
SARAH KILBOURN
Occupational Therapist
1000 W LINCOLN WAY
JEFFERSON, IA 50129
Greene County (515) 386-0284
GREENE COUNTY MEDICAL CENTER
Orthopaedic Surgery
1000 W LINCOLN WAY
JEFFERSON, IA 50129
Greene County (515) 386-2114
ASHLEY BEEKMAN
Physical Therapy Assistant
1000 W LINCOLN WAY
JEFFERSON, IA 50129
Greene County (515) 386-4284
GREENE COUNTY MEDICAL CENTER
Clinic/Center (Multi-Specialty)
1000 W LINCOLN WAY
JEFFERSON, IA 50129
Greene County (515) 386-2114

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 Mary Pedersen's NPI number?

The NPI number for Mary Pedersen is 1700554979. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Mary Pedersen located?

Mary Pedersen practices at 1000 W Lincoln Way, Jefferson, IA 50129. The listed phone number is (515) 386-0500.

What is Mary Pedersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mary Pedersen enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Pedersen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Mary Pedersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Pedersen affiliated with any hospitals?

According to CMS data, Mary Pedersen is affiliated with Greene County Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Pedersen was last updated on September 2, 2021. 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.