MR. JACOB KOHL PEDERSON APRN CNP
NPI 1770243727
Nurse Practitioner - Gerontology in Fargo, ND
About Mr. Jacob Kohl Pederson Aprn Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACOB KOHL PEDERSON APRN CNP (NPI 1770243727) is an individual gerontology provider in Fargo, North Dakota, licensed in North Dakota (R51672) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mr. Jacob Kohl Pederson Aprn Cnp 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Marys - Detroit Lakes
Acute Care Hospitals · Detroit Lakes, MNEssentia Health
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FARGO, ND 58103
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 Jacob Pederson's NPI number?
The NPI number for Jacob Pederson is 1770243727. It was assigned to this individual provider in the NPPES registry on December 17, 2021.
Where is Jacob Pederson located?
Jacob Pederson practices at 3000 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 364-8000.
What is Jacob Pederson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Jacob Pederson enrolled in Medicare?
Yes. Jacob Pederson 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 Jacob Pederson accept?
Health plans from Blue Cross Blue Shield of North Dakota and Medica list Jacob Pederson 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 Jacob Pederson affiliated with any hospitals?
According to CMS data, Jacob Pederson is affiliated with Essentia Health St Marys - Detroit Lakes and Essentia Health.
When was this NPI record last updated?
The NPPES record for Jacob Pederson was last updated on December 17, 2021. 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.
