Individual provider Active NPI

Katherine Pedersen, FNP

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1295349462
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0995586-NP Issued in CO
Practice address
3827 N Lafayette St
Denver, CO 80205-3339
Phone
(303) 500-1518
Fax
(720) 598-0440
NPI assigned
Sep 3, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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 APN.09955986-NP CO
Nurse Practitioner 363L00000X APN.0995586-NP CO Primary

Addresses

Primary practice location

3827 N Lafayette St
Denver, CO 80205-3339

Mailing address

1050 Hooker St
Denver, CO 80204-3241
Phone (520) 991-2923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200924002721 CO Practitioner - Nurse Practitioner 1254750292 Reassigns benefits to 2 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
Saint Joseph Hospital, IncGroup PAC ID 6204735970, 18 clinicians

Practice addresses (Care Compare)

1960 N Ogden St
Suite 110
Denver, CO 80218-3667
Phone (303) 812-6850

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.09955986-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Hospital, Inc Nurse Practitioner Current Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Mar 14, 2022 Accepting new patients
True North Health Navigation LLC CurrentSince Sep 15, 2020 Accepting new patients
Saint Joseph Hospital, Inc Past Accepting new patients

Locations

5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 110
Denver, CO 80218
Phone (303) 318-2460

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

Organizations & group practices 4

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1295349462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 HOOKER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043241",
            "telephone_number": "520-991-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053339",
            "telephone_number": "303-500-1518",
            "fax_number": "720-598-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.09955986-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0995586-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.