MR. GLENDON ARLY PEDERSEN APRN
NPI 1942591441
Nurse Practitioner - Primary Care in Cedar City, UT

Active since May 02, 2011PECOS EnrolledAccepts Medicare Assignment
440 N PAIUTE DR, CEDAR CITY, UT 84721(435) 867-1520(435) 867-2658 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 8, 2023, Jan 13, 2023 (2 updates tracked since 2023).

About Mr. Glendon Arly Pedersen Aprn NPPES

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

MR. GLENDON ARLY PEDERSEN APRN (NPI 1942591441) is an individual primary care provider in Cedar City, Utah, licensed in Utah (5581789-4405) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Cedar City Hospital, and maintains a secondary practice location in Cedar City.

NPPES Registry Identity

NPI1942591441
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. GLENDON ARLY PEDERSENCredential: APRN
Location Address440 N PAIUTE DRCedar City, UT 84721-6181
Mailing Address440 N Paiute DrCedar City, UT 84721-6181 · (435) 867-1520 · Fax (435) 867-1520
Fax(435) 867-2658
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 2, 2011
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1942591441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in UT · 5581789-4405
Also ListedTechnician, Health InformationTaxonomy 247000000X
440 N PAIUTE DR, Cedar City, UT 84721

Secondary Practice Location 1

Location 157 N. 200 E.Cedar City, UT 84720 · Phone (435) 586-5215

Other Identifiers 1

Other5581789-4405UT · Utah State License

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. Glendon Arly Pedersen Aprn 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.

PECOS PAC ID6406146034
PECOS Enrollment IDI20231208002835
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460007
Location1303 North Main StreetCedar City, UT 84721 · Iron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84721 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 18

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

Case Manager/Care Coordinator
440 N PAIUTE DR
CEDAR CITY, UT 84721
Prosthetic/Orthotic Supplier
440 N PAIUTE DR
CEDAR CITY, UT 84721
Social Worker
440 N PAIUTE DR
CEDAR CITY, UT 84721
Registered Nurse
440 N PAIUTE DR
CEDAR CITY, UT 84721
Registered Nurse
440 N PAIUTE DR
CEDAR CITY, UT 84721
Registered Nurse
440 N PAIUTE DR
CEDAR CITY, UT 84721
Social Worker
440 N PAIUTE DR
CEDAR CITY, UT 84721
Social Worker
440 N PAIUTE DR
CEDAR CITY, UT 84721

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942591441, enumerated as an "individual" on May 02, 2011.

The provider is located at 440 N PAIUTE DR CEDAR CITY, UT 84721 and the phone number is (435) 867-1520.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.

Glendon Pedersen is affiliated with: CEDAR CITY HOSPITAL.