1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Nurse Practitioner
  6. NPI Profile

MICHELLE ROSE PEDERSEN ACNP
NPI 1962259267
Nurse Practitioner - Acute Care in Phoenix, AZ

Active since May 03, 2024PECOS Enrolled
16601 N 40TH ST STE 204, PHOENIX, AZ 85032(602) 633-3721(602) 953-5466 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Rose Pedersen Acnp NPPES

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

MICHELLE ROSE PEDERSEN ACNP (NPI 1962259267) is an individual acute care provider in Phoenix, Arizona, licensed in Arizona (RN197112) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962259267
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMICHELLE ROSE PEDERSENCredential: ACNP
Location Address16601 N 40TH ST STE 204Phoenix, AZ 85032-3356
Mailing Address16601 N 40th St Ste 204Phoenix, AZ 85032-3356 · (602) 633-3721 · Fax (602) 953-5466
Phone(602) 633-3721
Fax(602) 953-5466
Sole ProprietorNo
Enumeration DateMay 3, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1962259267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · RN197112
16601 N 40TH ST STE 204, Phoenix, AZ 85032
Open in Google Maps ↗

Other Names 1

Former Name (1)Michelle Rose Clayton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..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)

Michelle Rose Pedersen Acnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

DR. SCOTT J HILLMANN M.D.
Surgery
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 996-4747
ADAM MINA DO
Surgery (Surgical Critical Care)
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 633-3721
DR. JEFFREY A SINGER MD
Surgery
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 996-4747
MR. SCOTT SHOLEM
Surgery (Trauma Surgery)
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 996-4747
DR. MEGHANN LEE KAISER M.D.
Surgery (Surgical Critical Care)
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 633-3721
RIMA AHMAD MBBS
Surgery
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 996-4747
DR. NASRIN GHALYAIE M.D
Colon & Rectal Surgery
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 996-4747
DR. QAALI A HUSSEIN M.D.
Surgery (Surgical Critical Care)
16601 N 40TH ST STE 204
PHOENIX, AZ 85032
Maricopa County (602) 633-3721

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 Michelle Pedersen's NPI number?

The NPI number for Michelle Pedersen is 1962259267. It was assigned to this individual provider in the NPPES registry on May 3, 2024. The provider is also known as Michelle Rose Clayton.

Where is Michelle Pedersen located?

Michelle Pedersen practices at 16601 N 40th St Ste 204, Phoenix, AZ 85032. The listed phone number is (602) 633-3721.

What is Michelle Pedersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michelle Pedersen enrolled in Medicare?

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

What insurance does Michelle Pedersen accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Michelle Pedersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Pedersen was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.