Individual provider Active NPI

Allison Faye Pedersen, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • College Station, TX
National Provider Identifier
1265032544
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A161810 Issued in IA
Practice address
1103 Rock Prairie Rd
College Station, TX 77845-8344
Phone
(979) 822-5511
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1142237 TX
Family Nurse Practitioner 363LF0000X A161810 IA Primary

Addresses

Primary practice location

1103 Rock Prairie Rd
College Station, TX 77845-8344

Mailing address

1103 Rock Prairie Rd
College Station, TX 77845-8344
Phone (979) 822-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130002999 TX Practitioner - Nurse Practitioner 4486069325 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer J Hardenbrook MD PCGroup PAC ID 2062733546, 93 clinicians
Plaid Eagle Medical PLLCGroup PAC ID 6103268560, 35 clinicians

Practice addresses (Care Compare)

7115 Blanco Rd
Suite 101
San Antonio, TX 78216-5045
Phone (800) 640-3451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A161810IAMDFamily Nurse Practitioner
CP001962SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer J Hardenbrook MD PC CurrentSince Mar 15, 2024 Accepting new patients
Healogics Specialty Physicians of Texas, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Plaid Eagle Medical PLLC CurrentSince Jan 13, 2026 Accepting new patients

Locations

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

501 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 541-5000

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

2011 N Collins Blvd
Ste 607
Richardson, TX 75080
Phone (833) 258-7900

7115 Blanco Rd
Ste 101
San Antonio, TX 78216
Phone (210) 338-8800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1265032544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 ROCK PRAIRIE RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458344",
            "telephone_number": "979-822-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 ROCK PRAIRIE RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458344",
            "telephone_number": "979-822-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "ALLISON",
        "middle_name": "FAYE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1142237",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A161810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.