KRISTINE J PEDERSON PA-C
NPI 1730409319
Physician Assistant in Alexandria, MN

Active since June 07, 2010
610 30TH AVE W, ALEXANDRIA, MN 56308(320) 763-5123(320) 763-5749 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristine J Pederson Pa-c NPPES

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

KRISTINE J PEDERSON PA-C (NPI 1730409319) is an individual physician assistant in Alexandria, Minnesota, licensed in Minnesota (1420) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1730409319
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTINE J PEDERSONCredential: PA-C
Location Address610 30TH AVE WAlexandria, MN 56308-3426
Mailing Address610 30th Ave WAlexandria, MN 56308-3426 · (320) 763-5123 · Fax (320) 763-5749
Fax(320) 763-5749
Sole ProprietorNo
Enumeration DateJune 7, 2010
Last NPPES UpdateMay 20, 2022
NPPES CertifiedMay 20, 2022
NPI 1730409319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 1420
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.
610 30TH AVE W, Alexandria, MN 56308

Other Identifiers 2

Medicaid1730409319MN
Other1730409319MN · Bcbs

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.

Internal Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Internal Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Pediatrics
610 30TH AVE W
ALEXANDRIA, MN 56308
Family Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Family Medicine
610 30TH AVE W, ALEXANDRIA CLINIC
ALEXANDRIA, MN 56308
Nurse Practitioner (Family)
610 30TH AVE W
ALEXANDRIA, MN 56308
Registered Nurse (Addiction (Substance Use Disorder))
610 30TH AVE W
ALEXANDRIA, MN 56308
Nurse Practitioner
610 30TH AVE W
ALEXANDRIA, MN 56308

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 Kristine Pederson's NPI number?

The NPI number for Kristine Pederson is 1730409319. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Kristine Pederson located?

Kristine Pederson practices at 610 30th Ave W, Alexandria, MN 56308. The listed phone number is (320) 763-5123.

What is Kristine Pederson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kristine Pederson was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.