Ashzra Pedersen, DNP, RN, FNP-C, AGNP - Medicare Nurse Practitioner in Scotts Valley, CA

Ashzra Pedersen, DNP, RN, FNP-C, AGNP is a medicare enrolled "Nurse Practitioner - Family" in Scotts Valley, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 4663 Scotts Valley Dr, Scotts Valley, California. You can reach out to her office (for appointments etc.) via phone at (831) 458-6300.

Ashzra Pedersen is licensed to practice in California (license number 95007248) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649728999.

Contact Information

Ashzra Pedersen, DNP, RN, FNP-C, AGNP
4663 Scotts Valley Dr,
Scotts Valley, CA 95066-4202
(831) 458-6300
Not Available

Map and Direction




Provider's Profile

Full NameAshzra Pedersen
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location4663 Scotts Valley Dr, Scotts Valley, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ashzra Pedersen graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1649728999
  • Provider Enumeration Date: 09/15/2016
  • Last Update Date: 10/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6709143159
  • Enrollment ID: I20171120003571

Medical Identifiers

Medical identifiers for Ashzra Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649728999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology AG08170091 (California)Secondary
363LF0000XNurse Practitioner - Family F07170649 (California)Secondary
363LF0000XNurse Practitioner - Family 95007248 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782995

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ashzra Pedersen allows following entities to bill medicare on her behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909
Entity NameMinuteclinic Diagnostic Medical Group Of San Diego Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568659233
PECOS PAC ID: 2567520414
Enrollment ID: O20090127000249

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashzra Pedersen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ashzra Pedersen, DNP, RN, FNP-C, AGNP
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: () -
Ashzra Pedersen, DNP, RN, FNP-C, AGNP
4663 Scotts Valley Dr,
Scotts Valley, CA 95066-4202

Ph: (831) 458-6300

Reviews and Comments


Nurse Practitioner Nurses in Scotts Valley, CA

Alisa Jewel Hawes, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 245 Mount Hermon Rd Ste L, Scotts Valley, CA 95066
Phone: 831-430-7203    Fax: 831-430-7204
Teresa Mueting,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4663 Scotts Valley Dr, Scotts Valley, CA 95066
Phone: 831-458-6335    
Jeannette Bingham, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4663 Scotts Valley Dr, Scotts Valley, CA 95066
Phone: 831-458-6330    
Christine Noelle Lindholm, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4663 Scotts Valley Dr, Scotts Valley, CA 95066
Phone: 831-458-6330    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.