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DR. WALTER JM PEDERSEN JR. MD
NPI 1780671909
Specialist in St. Croix, VI

Active since October 03, 2005PECOS Enrolled
SUNNY ISLE PROFESSIONAL BUILDING, SUITE 3-F, ST. CROIX, VI 00820(340) 778-6110(340) 778-2919 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Walter Jm Pedersen Jr. Md NPPES

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

DR. WALTER JM PEDERSEN JR. MD (NPI 1780671909) is an individual specialist in St. Croix, Virgin Islands, licensed in Virgin Islands (653) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780671909
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. WALTER JM PEDERSEN JR.Credential: MD
Location AddressSUNNY ISLE PROFESSIONAL BUILDING, SUITE 3-FSt. Croix, VI 00820-4423
Mailing AddressPo Box 7840, Sunny Isle Professional Bldg, Ste 3St Croix, VI 00823-7840 · (340) 778-6110 · Fax (340) 778-2919
Phone(340) 778-6110
Fax(340) 778-2919
Sole ProprietorYes
Enumeration DateOctober 3, 2005
Last NPPES UpdateDecember 11, 2007
✔ NPI 1780671909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VI · 653
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
SUNNY ISLE PROFESSIONAL BUILDING, St. Croix, VI 00820
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Other Identifiers 7

Other1780671909VI · Npi
Medicare UPING40288VI
Other53699PEVI · Triple S
Other0500138VI · Humana
Other089045VI · Blue Cross Blue Shield Vi
OtherV1000011VI · Tricare
Medicare PIN0024441VI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Walter Jm Pedersen Jr. Md 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$70.21 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$52.86 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$28.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Walter Pedersen's NPI number?

The NPI number for Walter Pedersen is 1780671909. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Walter Pedersen located?

Walter Pedersen practices at Sunny Isle Professional Building Suite 3-F, St. Croix, VI 00820. The listed phone number is (340) 778-6110.

What is Walter Pedersen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Walter Pedersen enrolled in Medicare?

Yes. Walter Pedersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Pedersen was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.