Oren Edwin Pedersen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60418997 Issued in WA

Practice address

950 E Bogard Rd Ste 103
Wasilla, AK 99654-7184

Phone

(907) 352-2880

Fax

(509) 385-0670

NPI assigned

May 30, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, SD, AK3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mat-Su Valley III LLCGroup PAC ID 5496941502, 26 clinicians

Mat Su Valley Medical Center LLCGroup PAC ID 5698686475, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006

Merit-based Incentive Payment System (MIPS)

Final score

88.18 of 100Reported as apm

Quality

71.02

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

88.18 of 100Reported as apm

Quality

71.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oren.pedersen.2@2839.direct.athenahealth.com
• Direct secure messaging: oren.pedersen.1@2839.direct.athenahealth.com

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.

• Mat Su Valley Medical Center LLC

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1912950148
  Medicare reassignment Care Compare group
• Mat-Su Valley III LLC

  • Internal Medicine Physician
  • Palmer, AK
  • NPI 1366752560
  Medicare reassignment Care Compare group
• Huron Regional Medical Center Inc

  • Critical Access Hospital
  • Huron, SD
  • NPI 1154312429
  Medicare reassignment NPD
• Pine Ridge Indian Health Service Hospital

  • General Acute Care Hospital
  • Pine Ridge, SD
  • NPI 1497786412

  TX

  Medicare reassignment NPD
• Eagle Butte Indian Health Service Hospital

  • Public Health or Welfare Agency
  • Eagle Butte, SD
  • NPI 1558395848

  TX

  Medicare reassignment
• Rosebud Indian Health Service

  • General Acute Care Hospital
  • Rosebud, SD
  • NPI 1194757369

  TX

  Medicare reassignment
• Mat-Su Valley III LLC

  • Urgent Care Clinic/Center
  • Palmer, AK
  • NPI 1518472984
  NPD
• Mat-Su Valley III LLC

  • Urgent Care Clinic/Center
  • Palmer, AK
  • NPI 1861935975
  NPD
• Mat-Su Valley Medical Center LLC

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061
  NPD
• Huron Laboratory SVC PC

  • Anatomic Pathology Physician
  • Huron, SD
  • NPI 1437155744
  NPD
• Huron Regional Medical Center, Inc

  • Critical Access Hospital Clinic/Center
  • Huron, SD
  • NPI 1376779777
  NPD
• Pine Ridge Indian Health Service Hospital

  • Clinic/Center
  • Martin, SD
  • NPI 1003208257
  NPD

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

• Mat-Su Valley Medical Center LLC

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061
  Care Compare affiliation

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1679910673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD STE 103",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547184",
            "telephone_number": "907-352-2880",
            "fax_number": "907-352-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD STE 103",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547184",
            "telephone_number": "907-352-2880",
            "fax_number": "509-385-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "OREN",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60418997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oren.pedersen.1@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "amr direct address",
            "address_1": "950 E Bogard Rd Ste 103",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cheryl Ann Pearce
• Eric William Peck, PHARM.D.
• Jacob Peck
• Rachael Lee Peck
• McKenzie Peckham, PA-C
• Pediatric Dentistry of Alaska
• Pediatric Resource Center of Alaska
• Elias V Pedroza V
• Megan Rose Pekkala
• Danielle Peltier

• Physician Assistant in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.

Verify at the official NPI Registry.