Active NPI
Allison Faye Pedersen, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- College Station, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A161810
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A161810 | IA | MD | Family Nurse Practitioner |
| CP001962 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer J Hardenbrook MD PC | Current | Accepting new patients | |
| Healogics Specialty Physicians of Texas, PLLC | Current | Accepting new patients | |
| Plaid Eagle Medical PLLC | Current | 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.
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- NPI 1285051094
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- Nurse Practitioner
- Abilene, TX
- NPI 1043529944
-
- Community Based Hospice Care Agency
- College Station, TX
- NPI 1609861939
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.