CORALIE ANN PEDERSON WHNP
NPI 1841283074
Nurse Practitioner in Minneapolis, MN

Q: What is Coralie Pederson's NPI number?

The NPI number for Coralie Pederson is 1841283074. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is Coralie Pederson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Coralie Pederson was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since August 23, 2005PECOS Enrolled

410 CHURCH ST SE, MINNEAPOLIS, MN 55455(612) 625-8400(612) 677-3211 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 30, 2025, Nov 24, 2025, Sep 17, 2024 and 1 more (4 updates tracked since 2022).

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About Coralie Ann Pederson Whnp NPPES

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

CORALIE ANN PEDERSON WHNP (NPI 1841283074) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (0011) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1841283074

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCORALIE ANN PEDERSONCredential: WHNP

Location Address410 CHURCH ST SEMinneapolis, MN 55455-0222

Mailing Address410 Church St SeMinneapolis, MN 55455-0222 · (612) 625-8400 · Fax (612) 677-3211

Phone(612) 625-8400

Fax(612) 677-3211

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 23, 2005

Last NPPES UpdateDecember 30, 20254 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1841283074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 0011

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

410 CHURCH ST SE, Minneapolis, MN 55455

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Other Identifiers 1

Medicaid463972300MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coralie Ann Pederson Whnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759718349

PECOS Enrollment IDI20200220000700

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 55455 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

MS. STEPHANIE GRADY PA & NP

Family Medicine