KIM R PEDERSON MHS PA-C
NPI 1730278037
Physician Assistant in Vancouver, WA

Q: What is Kim Pederson's NPI number?

The NPI number for Kim Pederson is 1730278037. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Kim Pederson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Pederson was last updated on March 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2006PECOS Enrolled

501 SE 172ND AVE, VANCOUVER, WA 98684(360) 882-2778(360) 604-1712 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kim R Pederson Mhs Pa-c NPPES

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

KIM R PEDERSON MHS PA-C (NPI 1730278037) is an individual physician assistant in Vancouver, Washington, licensed in Washington (PA60511027) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730278037

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIM R PEDERSONCredential: MHS PA-C

Location Address501 SE 172ND AVEVancouver, WA 98684-9542

Mailing Address700 Ne 87th AveVancouver, WA 98664-1913 · (360) 882-2778

Phone(360) 882-2778

Fax(360) 604-1712

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateMarch 3, 2015

✔ NPI 1730278037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WA · PA60511027✔ Licensed in MN · 10200

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA1356 (ME)

501 SE 172ND AVE, Vancouver, WA 98684

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Other Identifiers 2

Medicaid41952400WI

Medicare PIN0603 20195WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim R Pederson Mhs Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98684 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.