Dawn Elaine Pedersen, APRN - CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

155646-9 Issued in MN

Practice address

18275 Kenrick Ave
Lakeville, MN 55044-7306

Phone

(952) 892-5400

Fax

(952) 892-5454

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mayo Clinic Health System-Southwest Minnesota Region

  dba Mayo Clinic Health System - Mankato

  • Multi-Specialty Clinic/Center
  • Mankato, MN
  • NPI 1578545422
  Medicare reassignment NPD
• Mayo Clinic Health System-Fairmont

  • Multi-Specialty Clinic/Center
  • Fairmont, MN
  • NPI 1366410862
  Medicare reassignment
• Mayo Clinic Health System-Southwest Minnesota Region

  dba Mayo Clinic Health System-Waseca

  • Multi-Specialty Clinic/Center
  • Waseca, MN
  • NPI 1518494251
  NPD
• Between the Bridges Healing Center, LLC

  • Family Medicine Physician
  • Mankato, MN
  • NPI 1851470462
  NPD (past)
• Custom Clinic, P.a.

  dba Smart Clinic

  • Family Medicine Physician
  • Fairmont, MN
  • NPI 1699859124
  NPD (past)
• Primary Specialists

  dba Center for Primary Care

  • Family Medicine Physician
  • Fairmont, MN
  • NPI 1588900864
  NPD (past)
• Chess Medicine PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Montebello, NY
  • NPI 1699385021
  NPD (past)
• Clinical Practice Management, P.C.

  • Family Medicine Physician
  • McHenry, IL
  • NPI 1588760458
  NPD (past)
• Mercy Health Services-Iowa Corp

  dba MercyOne Northwood Pharmacy

  • Community/Retail Pharmacy
  • Northwood, IA
  • NPI 1316909484
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1932213147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E AMBER LAKE DR",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313425",
            "telephone_number": "507-235-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 KENRICK AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447306",
            "telephone_number": "952-892-5400",
            "fax_number": "952-892-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "DAWN",
        "middle_name": "ELAINE",
        "credential": "APRN - CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-092130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "155646-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Otto Jonas Paulsen
• Zachary Paulsen, PHARMD
• Sarah Pavlat
• Taylor Payne
• PDG, P.a. (Park Dental)
• Angelika Permuth
• Andrew Raymond Peroutky, RCP RRT CRTT
• Kaetherine Perry, RDH
• Suzanne Marie Peters, MA CCC-SLP
• Petersen Family Dental Clinic PA (Elko-New Market Dental Clinic)

• Family Nurse Practitioner in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.