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

Q: What is Glendon Pedersen's NPI number?

The NPI number for Glendon Pedersen is 1942591441. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Q: What is Glendon Pedersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Glendon Pedersen was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 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: August 09, 2026.

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

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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

Phone(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

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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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.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.

MRS. SONYA KRISTINE MITCHELL RN

Registered Nurse