Marilou Pederson, C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R061116-9 Issued in MN

Practice address

12200 Middle Set Rd
100
Eden Prairie, MN 55344-5415

Phone

(952) 943-8200

Fax

(952) 943-8206

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dakota Pediatrics, P.a.

  • Primary Care Clinic/Center
  • Inver Grove Heights, MN
  • NPI 1285943027
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215910492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 MIDDLE SET RD",
            "address_2": "100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445415",
            "telephone_number": "952-943-8200",
            "fax_number": "952-943-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 MIDDLE SET RD",
            "address_2": "100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445415",
            "telephone_number": "952-943-8200",
            "fax_number": "952-943-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "MARILOU",
        "name_prefix": "Ms.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R061116-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey R Payne, DPT
• PDG, P.a.
• Brandy Pearrow, APN
• Theresa Pecha
• Amy Pedersen
• Pediatric Lab Services Inc
• Linda Ruth Peitzman, M.D.
• Marisa Lynn Pender, DNP, FNP-C
• Joanne Penn, M.T.
• Pennebaker Clinic of Chiropractic,LLC

• Pediatric Nurse Practitioner in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.