JIM P PEDERSON PA
NPI 1902829773
Physician Assistant - Medical in Rawlins, WY

Q: What is Jim Pederson's NPI number?

The NPI number for Jim Pederson is 1902829773. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Jim Pederson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jim Pederson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 25, 2006

606 23RD ST, RAWLINS, WY 82301(307) 324-6002 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jim P Pederson Pa NPPES

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

JIM P PEDERSON PA (NPI 1902829773) is an individual medical provider in Rawlins, Wyoming, licensed in Wyoming (083) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1902829773

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJIM P PEDERSONCredential: PA

Location Address606 23RD STRawlins, WY 82301-5127

Mailing Address606 23rd StRawlins, WY 82301-5127 · (307) 324-6002

Phone(307) 324-6002

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1902829773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WY · 083

606 23RD ST, Rawlins, WY 82301

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Other Identifiers 1

Medicare UPINP55726WY

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAWLINS FAMILY MEDICAL, PC

Family Medicine

606 23RD ST
RAWLINS, WY 82301

Carbon County (307) 324-6002

PURPLE SAGE TELE-HOME HEALTH LLC

Home Health

606 23RD ST
RAWLINS, WY 82301

Carbon County (307) 321-7510

S48WY4, LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

606 23RD ST
RAWLINS, WY 82301

Carbon County (307) 324-8820

S48WY4, LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

606 23RD ST
RAWLINS, WY 82301

Carbon County (307) 324-8820

WYOMING RECOVERY RAWLINS

Clinic/Center (Rehabilitation, Substance Use Disorder)

606 23RD ST
RAWLINS, WY 82301

Carbon County (307) 324-8820

S48WY4, LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

606 23RD ST
RAWLINS, WY 82301

Carbon County (307) 342-8820

RAWLINS URGENT CARE, INC

General Practice

606 23RD ST
RAWLINS, WY 82301

Carbon County (307) 324-6002

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 Jim Pederson's NPI number?

The NPI number for Jim Pederson is 1902829773. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Jim Pederson located?

Jim Pederson practices at 606 23rd St, Rawlins, WY 82301. The listed phone number is (307) 324-6002.

What is Jim Pederson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jim Pederson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.